Campus Recreation & Wellness Student Uniform Request

Full Name*

Program Area*

Select or enter value

Shirts Requested*

If requesting multiple shirts, provide detailed description below in quantity box.

EX: Men's Gold Polo, Women's Purple Shirt.

Men's Gold Polo

Small - 2

Medium - 3

Women's Purple Shirt

Medium - 3

Large - 1

Select or enter value

What sizes and quantity are you requesting?

Please designate Men's or Women's along with size, quantity and shirt type.

Desired Delivery Date

Select a desired delivery date, 1 week minimum lead time.

Do you have any comments with this request?

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