HAMPTON MIDDLE SCHOOL JACKET ORDER FORM

(fall 2012)


Hooded Windbreaker Jacket is lined, with full length zipper, 2 zippered outside pockets, and draws on hood and at waist. Jacket Color is purple with yellow/gold lettering. Left breast is embroidered with choice of Band, Chorus, Drama or Hornet logo surrounded by Hampton Middle School.  For additional cost Back Blaze for Band, Chorus or Hornets can be added. For additional cost the Jacket can be personalized with Name and/or Title embroidered on the Right Breast.  

 

NAME: _________________________________ GRADE:_____  Staff/Parent: _______

 

Evening Phone #: ________________________________

 

SIZE: (Adult sizes only)_____________(S-XXXL)  (XXL add $3.00 XXXL add $4.00)

                                           

 

PICK STYLE: ______ BAND     ______ CHORUS   ______ GENERAL*   _____DRAMA*

*(must have 12 orders to send in)

 

BACK BLAZE:  _______ YES ($8.00)        _____ NO ($.00)

PERSONALIZATION: PRINT CLEARLY! (examples)

 

____ 1 NAME ($5.00)            ____________________

                                                            (Thomas)                    

 

____ 2 NAMES ($6.00)          _____________________       __________________

(Thomas Cremer or Dr. Cremer)

   

____ 1 Name and title ($7.00)_________________________/ ___________________

                                                            (MaryJo)                                  (coach)

 

___ 2 Names and title ($8.00) _______________  ____________/ _______________

                                                 (Dr. Cremer)                                       (Director)       

Jacket $ 37.00 with Left breast logo

Blaze ($8.00) + personalization _________ (+ size surcharge_____) = total  _________

MAKE CHECKS PAYABLE TO HAMPTON MIDDLE SCHOOL

++++++++++++++   +++++++++++++++++  +++++++++++++++  ++++++++++++++

OFFICE USE ONLY:

date received: ___________ cash____  check # _______  ordered: ________ 

 

OTHER: ________________________________________________________________

Rec’d by customer: ____________

Last Modified on 01/24/2013 11:50:19 AM
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