Purchase Form for Rural Coalition's new 2026 T-Shirts
Name
First Name
Last Name
Email
example@example.com
Would you like your t-shirts shipped to you? Or would you like to pick them up at the 17th Winter Forum, January 21-23, 2026 in Washington, DC?
Shipped
Pick-up at Winter Forum
If you selected shipping, please provide your shipping address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Product Selection
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Green T Shirt
$
20.00
Size
Quantity
Baby onesie
XS
S
M
L
XL
XXL
XXXL
Item subtotal:
$
0.00
Off-White T Shirt
$
20.00
Size
Quantity
Baby onesie
XS
S
M
L
XL
XXL
XXXL
Yellow T Shirt
$
20.00
Size
Quantity
Baby onesie
XS
S
M
L
XL
XXL
XXXL
Red T Shirt
$
20.00
Size
Quantity
Baby onesie
XS
S
M
L
XL
XXL
XXXL
Purple T Shirt
$
20.00
Size
Quantity
Baby onesie
XS
S
M
L
XL
XXL
XXXL
Submit
Should be Empty: