Letter Jacket Order Form

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Brandon Ellefson • 1120 Townline Road • Tomah, WI 54660 • Phone: 715-379-0279

Kettle Moraine Lutheran High School LETTER JACKET ORDER FORM Wool Body, Leather sleeves, and knit collar Price includes: Name embroidered on chest, one back of jacket option, shipping and tax. COST:

Choose One:

$180

ADDITIONAL OPTIONS:

BACK OF JACKET:

Kettle Moraine Lutheran w/ CHARGERS interwoven in tail (Pictured Above)

or

10” Chenille Charger mascot with CHARGERS (Pictured right)

3" chenille activity/sport $10.00 each. List sport or activities below. (Limit Three) 1. 2. 3.

SPECIAL INSTRUCTIONS:

STUDENT NAME: ADDRESS:

*Additional options available upon request* EXTRA CHARGE FOR SPECIAL SIZES

PHONE #: NAME EMBROIDERED ON RIGHT FRONT:

$5.00 per supplied items to sew on. Letter, Numerals, Sport Patches, Stars, Chevrons, Emblems. Special lengths add $10.00, 4XL add $20.00, 5XL add $25.00.

TOTAL: $

SIZE:

Sizing Instructions: Please contact sales rep for sizing instructions.

DEPOSIT: $ BALANCE: $ ALLOW 5 WEEKS FOR DELIVERY

Representative will be present on Monday Monday,November April 10th 7th to take orders during lunch from 11:00am to 12:30pm