| Date Ordered: ______________________<= /td> | |||||||||||||||||
| School eLeMeNTs | St. Vincent's Fleece Jacket Order Form | ||||||||||||||||
| Lauren, Molly, Nicholas, &am= p; Terry | |||||||||||||||||
| School Uniforms - Gym Uniforms – Embroidery - Screen Printing - Spirit Wear | |||||||||||||||||
| = | |||||||||||||||||
| Parent Name: | Student Name: | ||||||||||||||||
| Phon= e 1: | Grade: | ||||||||||||||||
| Phon= e 2: | Home Room Teach= er: | ||||||||||||||||
| E-Ma= il address: | Home Room Numbe= r: | ||||||||||||||||
| Enter quantity in WHITE box under proper si= ze. | |||||||||||||||||
| Item Description St. Vincen Panther Design |
Youth | ADULT | Intro Per Unit Price | Reg Per Unit Price | Total | ||||||||||||
| XS | S | M | L | XL | S | M | L | XL | 2XL | 3XL | |||||||
| 5-6 | 7-8 | 10-12 | 14-16 | 18-20 | |||||||||||||
| *Micro-Fleece Jacket - Red |
Youth>>> Adult up to XL>> 2XL or 3XL>> |
$25.00 | $29.00 | ||||||||||||||
| &n= bsp; | $2= 8.00 | $3= 2.00 | |||||||||||||||
| 2XL-3XL additional charge of $3, total $= 35 | $3= 2.00 | $3= 5.00 | |||||||||||||||
| *Micro-Fleece Jacket - Navy |
Youth>>> Adult up to XL>> 2XL or 3XL>> |
$25.00 | $29.00 | <= /td> | |||||||||||||
| &n= bsp; | $2= 8.00 | $3= 2.00 | |||||||||||||||
| 2XL-3XL additional charge of $3, total $= 35 | $3= 2.00 | $3= 5.00 | |||||||||||||||
| *Micro-Fleece Jacket - Green |
Youth>>> Adult up to XL>> 2XL or 3XL>> |
$25.00 | $29.00 | <= /td> | |||||||||||||
| &n= bsp; | $2= 8.00 | $3= 2.00 | |||||||||||||||
| 2XL-3XL additional charge of $3, total $= 35 | $3= 2.00 | $3= 5.00 | |||||||||||||||
| Total | |||||||||||||||||
| = | |||||||||||||||||
| *Approved to wear in class! | IN Sales Tax is included | ||||||||||||||||
| Instructions: | (Note below an= y special instructions, multiple rooms, multiple names, colors, etc. needing explai= ned) | ||||||||||||||||
| 1. Complete form - pick a size and color, enter quantity of desired size in boxes | |||||||||||||||||
| 2. Attach payment - cash or checks payable to School Elements | |||||||||||||||||
| 3. Turn form in at school office - make sure name and room number are on the form | |||||||||||||||||
| 4. Orders will be delivered to the student’s home room listed above | |||||||||||||||||
| If this is a GIFT, write GIFT in the Room Number Box and I'll call when available. | |||||||||||||||||
| 5. Any questions, please see or call Terry Lehman at 489-1363 or 385-9328 | |||||||||||||||||
| NOTES: | |||||||||||||||||
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| = ; | |||||||||||||||||
| Office Use Only: | Payment Type Cash Check#___________ Amo= unt ________________ | ||||||||||||||||
| Received __________________= __ Delivered ______________________<= /td> | |||||||||||||||||
| = Prices are subject to change without notice. Please DATE your form when completing it. Form created 08/26/2008 | |||||||||||||||||
| = | |||||||||||||||||
| 9328 W= aters Court, Fort Wayne, IN 46825 p.. 260-489-1363 c.. 260-385-9328 e.. LMNTs@comcast.net w.. www.schoolelements.com |