Name of Sport:
Students First Name:
Students Last Name:
Name to be Stitched on Coat:
Coat prices are up to size XL.    Add $8.00 for each X past XL
Base Price
Size
Amount
(BLACK)  Heavy Weight, Water Repellant, Hooded Supplex Jacket. 
This Coat is Black with Red Writing. Panther is Outlined, not filled in with Stitches 
(RED)     Heavy Weight, Water Repellant, Hooded Supplex Jacket. 
(Coat is Red with Black & Silver 2 Toned Writing. Panther is filled in with Stitches)
Girls All Wool BLACK (SHORT STYLE) Jacket with RED Zippered Hood
(This Coat is Black with Red Writing)
GIRLS All Wool Pea Coat Style, with Sailor Collar Zippered Hood.
(This Coat is Black with Red Writing)
GIRLS All Wool Pea Coat Style, with Sailor Collar Zippered Hood.
(This Coat is Red with 2 Toned Black & Silver Writing)
Red Wool Jacket with (Black) Leather Inserts in Sleeve 

Red Wool Jacket with (Black) All Leather Sleeves 

Added Extras:
Sub Total:
Total:
Small 34/36, Medium 38/40, Large 42/44, And Extra Large 46/48. 
*See Below for Added Extras
NOTE:  All Coats Prices are Based on Sizes: 
2010 / 2011
Date of Order
$ 55.00
$ 65.00
$ 100.00
$ 100.00
$ 110.00
$ 150.00
$ 175.00
Mastercard and Visa Accepted    
Make Checks Payable to   "Teta Activewear"       
*
Name on Card: 
Instructions Box:  If this is a Christmas or Other Gift, Please Specify in Box Below.
Card Number:
Expiration Date:
For more Information call Amy Colt @ 203-262-1446  
Card Type: 
2XL 50/52,  3XL 54/56,  4XL 58/60,  5XL 62/64,  6XL 66/68,  7XL 70/72
Coats are Custom Made and take about 4 to 6 Weeks to be Completed.
All Wool Jacket / NO Leather on Jacket 
$ 95.00
The All Wool Jackets can have either Red Wool Sleeves or Black Wool Sleeves.  There is no Leather on this Jacket
Girls All Wool RED (SHORT STYLE) Jacket with Zippered Hood
(This Coat is Red with Black Writing)
$ 110.00
If you play more than 1 sport, List Sports in Order you wish Placed on Coat. Each Additional Sport after the First is $10.00
Contact Name:
E~Mail Address:
All Coats Will be Delivered to the Athletic Office Unless Otherwise Requested in the Instruction Box Below. 
If this is a Gift please fill in Contact Information
Home Phone:
Cell Phone:
Return all  Forms By the 1st of Each Month to:  
Sherry Morgan
Pomperaug High Athletic Dept. 
234 Judd Rd * Southbury, Ct. 06488