NORTHWEST RAIDERS BOOSTER CLUB - OFFICIAL BOOSTER CLUB OF THE OAKLAND RAIDERS


 

MAIN ADULT NAME
FULL MAILING STREET ADDRESS
CITY, STATE & ZIP CODE
BIRTHDAY (MONTH AND DATE)
MAIN ADULT CONTACT NUMBER:
MAIN ADULT E-MAIL ADDRESS:
MAIN ADULT SHIRT SIZE:
PLEASE INDICATE IF YOU WANT THE T-SHIRT A MEN'S TALL ($4.00 EXTRA) OR WOMEN'S CUT.
WERE YOU A PAID CLUB MEMBER IN 2018?
Yes
No
WHAT YEAR DID YOU JOIN THE NWRBC (ie: 2006)? IF FIRST TIME TYPE "NEW"
HOW DID YOU FIND US / REFERRED BY?
METHOD OF PAYMENT:
PAYPAL (BELOW)
CREDIT / DEBIT CARD (USE SQUARE LINK BELOW)
CHECK /M.O. (FORM WON'T BE PROCESSED TIL RECEIVED)
PICK UP / SHIPPING OPTION:
WILL PICK UP AT THE ANNUAL BBQ JULY 14, 2019
SHIP MY ONE MEMBER PACKET ($10-SHIPPING)
SHIP MY MULTI MEMBER PACKETS ($15-SHIPPING)
2nd ADULT INFORMATION
2ND ADULT FULL NAME
2ND ADULT BIRTHDAY (MONTH AND DATE)
2ND ADULT CONTACT NUMBER
2ND ADULT EMAIL ADDRESS
2ND ADULT SHIRT SIZE
PLEASE INDICATE IF YOU WANT THE T-SHIRT A MEN'S TALL ($4.00 EXTRA) OR WOMEN'S CUT.
WAS 2ND ADULT A NWRBC MEMBER IN 2018?
YES
NO
WHAT YEAR DID YOU JOIN THE NWRBC (ie: 2006)? IF FIRST TIME TYPE "NEW"
YOUTH/TODDLER MEMBERSHIP INFORMATION
KID #1 NAME
KID #1 BIRTHDAY (MONTH AND DATE)
KID #1 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO TO 17YO) $20 SHIRT ONLY
KID #1 SHIRT SIZE
KID #2 NAME
KID #2 BIRTHDAY (MONTH AND DATE)
KID #2 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO-17YO) $20 SHIRT ONLY
KID #2 SIZE
KID #3 NAME
KID #3 BIRTHDAY (MONTH AND DATE)
KID #3 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO-17YO) $20 SHIRT ONLY
KID #3 SIZE














OR


(SELECT ALL THAT APPLIES):
2019 MAIN MEMBERSHIP T-SHIRT
MEMBERS ONLY SHORT SLEEVE BLACK T-SHIRT
Price: $35.00
2019 2nd ADULT MEMBERSHIP T-SHIRT
MEMBERS ONLY 2nd ADULT BLACK T-SHIRT
Price: $30.00
2019 YOUTH MEMBERSHIP
YOUTH AGES 17 AND UNDER, T-SHIRT ONLY
Price: $20.00
TODDLER MEMBERSHIP
TODDLER BOYS OR GIRLS AGES INFANT TO 5YO SHIRT ONLY
Price: $10.00
MEMBERSHIP AND BENIFITS ONLY
NO T-SHIRT INCLUDED
Price: $20.00
ADD ON: LONG SLEEVE T-SHIRT
MEMBERS ONLY LONG SLEEVE BLACK T-SHIRT
Price: $20.00
ADD ON: FOREVER HOODIE
Keeps you warm while reppin the Northwest Raiders.
Price: $40.00
SHIPPING ONE PACKET
COVER ONE MEMBERSHIP PACKET.
Price: $10.00
SHIPPING TWO PACKETS
COVER 2+ PACKETS
Price: $15.00
Long Tshirt
Member T-shirt Long
Price: $4.00










First Name:
Email:
Phone:
Comments:
 
 



Mail to NWRBC, Angie Ramirez,  P.O. 55968, Shoreline, WA 98155
UPDATED:  March 2019


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