Mira Mesa Sapphire Sound [email protected] and/or [email protected]         Student’s first and last name: _______________________________________ date: _____________ email: _____________________________________________________ phone:_________________________

   

Student Class B Polo shirt  

XSM

Small

Med

Large

XLarge

2XLarge

3XLarge

$20

$21

$22

Choose size $20 $20 $20 $20

 

Amount due: _____________________________ Paid: _____________________________________ Shirt picked up by: _______________________

Thank you!