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Purchase Your Additional Virtual Butterfly Walk for Lupus & Fibro T-Shirt Today!
Paid Virtual Butterfly Walk registrations will receive one free adult shirt. Children shirts are not included with registrations. Shirts will be mailed out with registration packets or available at registration pick ups depending on date of purchase.
Adult Shirts: Sizes S-4XL $25 each
Youth Shirts: Sizes XS (2-4), S (6-8), M (10-12), L, (14-16), XL (18-20) $15 each
Name
*
$
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Adult Shirts
*
$
$
x $25.00
One Time
Recurring
Adult Shirt Sizes
*
$
Small
Medium
Large
XL
2XL
3XL
4XL
$
One Time
Recurring
Youth Shirts
*
$
$
x $15.00
One Time
Recurring
Youth Shirt Sizes
*
$
XS (2-4)
Small (6-8)
Medium (10-12)
Large (14-16)
XL (18-20)
$
One Time
Recurring
Note
*
$
$
One Time
Recurring
If you would like to designate an authorized pick up person for your shirt(s) at the registration pick up location on the designated date, please specify the person's full name, contact number, and email address. Thank you!
Would you like to cover the processing fees?