Please print and mail this order form along with your check to:

Zsuzsa Bebok
c/o Birmingham Bicycle Club
PO Box 382663
Birmingham, AL 35238-2663

Please see design and sizing information on the BBC web site http://bhambikeclub.org
The men’s version is short-sleeved, and the women’s is sleeveless.

Price: $65

Name _________________________________________________

Address _________________________________________________________

               _________________________________________________________

Telephone number _______________________________________

Email address __________________________________________

Circle the style and size you are ordering:

Men’s (short-sleeved):	XX-Small	X-Small	Small	Medium	Large	X-Large	XX-Large	3XL
Women’s (sleeveless):	XX-Small	X-Small	Small	Medium	Large	X-Large	XX-Large	3XL