Letter Jacket Order Form - B&W

NOBLESVILLE HIGH SCHOOL ATHLETIC DEPARTMENT Phone: (317) 776-6266 Fax: (317) 776-6287

18111 Cumberland Road Noblesville, IN 46060

LETTER JACKET ORDER FORM Please complete and submit with cash or a check to the Athletic Office. Checks should be made to NHS or Noblesville High School

Name:

Date:

Grade:

Sport(s): Men’s Cut

Ladies Cut

Hood Example (Ladies Only)

Jacket Choice (Check One)

Cost

Ladies Cut: Black Letter Jacket w/Gold Sleeves & Zippered Hood

$85.00

SMALL

MEDIUM

Men’s Cut: SMALL

LARGE

XL

2XL (add $10)

3XL (add $25)

Gold Letter Jacket w/Black Sleeves MEDIUM

LARGE

XL

(incl. N sewn on)

$60.00

2XL (add $10)

3XL (add $25)

$

$

(incl. N sewn on)

Script Embroidery Option on Hood (Ladies Cut Only) (Up to 3 lines - Maximum 15 Characters) Line 1:

$12.00

$

Line 2:

$12.00

$

Line 3:

$12.00

$

*Your cost is greatly reduced due to the Miller Backers making a $60 contribution towards each letter jacket!

PAYMENT DUE WITH ORDER

TOTAL

$

OFFICE USE ONLY SPORT(S)

POINTS

TOTAL PTS

DATE ORDERED/PAYMENT REC’D DATE PROCESSED DATE OF PICKUP