2016-2017 Pink-Out Shirt Order Form All orders should be made through the school office. Please turn in all orders and payments to the office by 10 am on Thursday, October 27. Please Print: Student’s Name:_________________________________________________ Grade_________ Parent’s/ Guardian’s Name: _____________________________________________________ Contact Numbers- Home:_____________________________ Cell:_______________________ ***You can order shirts for more than one person on this form. We will have the shirts ready for pick-up after lunch on Nov. 3.***
Shirt will be a short sleeve ONLY black shirt with hot pink & white screen print colors.
YOUTH SIZE $12.00
x-small
small
medium
large
ADULT SIZE $12.00
small
medium
large
x-large
ADULT PLUS-SIZE $12.00
xxx-large
4x-large
5x-large
xx-large
Total # of youth or adult shirts ordered __________________ x $12.00 =_______________ Total # of adult plus-size shirts ordered ___________________ x $12.00= _______________ Total Payment DUE: __________________
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