Homecoming 4 Homeless Order Form
Email homecoming4homeless@gmail.com WITH QUESTIONS/CONCERNS.

Thank you for supporting the Inn!
Email address *
High School *
Select the high school that you or your student attends. Please keep in mind that this is the school that your shirt will be delivered to so that you can pick it up before spirit week. If you choose "None," you will need to pick your shirt up at the Samaritan Inn and will receive an email when your order comes in. We do not ship.
First Name *
Last Name *
Cell Phone # *
Email *
Order here: *
Shirt Size *
Payment Type *
Please select a payment form (cash, check, or PayPal). After completing this form, you will be redirected to an online payment site. THIS SITE IS ONLY FOR THOSE WHO HAVE CHOSEN TO PAY THROUGH PAYPAL. IF YOU DID NOT SELECT PAYPAL, PLEASE DO NOT FILL OUT THE SECOND FORM. If you selected cash or check, please pay at your school's H4H booth.
Paypal Invoice
Additional Comments
Anything additional you'd like us to know regarding your order!
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