Name of Sport or Club Here

Please Type or Print Clearly

Please Type or Print Clearly

First Name:

Last Name:

Phone Number:

Address:

Size

Color

Amount

Panther Sweat Shirt   (Small, Medium, Large)

Name on Hood $5.00

Sub Total:

Total:

2010 / 2011

Date of Order

$ 46.00

$ 48.00

$ 50.00

Mastercard and Visa Accepted    

Make Checks Payable to   "Teta Activewear"       

*

Name on Card: 

Special Instructions Box:  If this is a Christmas Gift, Please Specify Here and we will call you directly   

Card Number:

Expiration Date:

Return all  forms to Mrs Morgan in the Athletic Dept.

234 Judd Rd * Southbury, Ct. 06488   

For more Information call Amy Colt @ 203-262-1446  

Card Type: 

SWEAT SHIRT

SWEAT SHIRT

ORDER FORM

Panther Sweat Shirt   (X Large & 2X Large)

Panther Sweat Shirt   (3 X Large)

ADD NAME ON HOOD $5.00

Type Name to be stitched on Hood

Base Price

Sweat Shirts can be Ordered in (Red) * (Grey) or (Black with Red Writing)

Master CardVisa

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