Boys Varsity Jacket Customer Information Name: _______________________________________________________________________________ Phone: ( )___________________________ Address: ________________________________ City: ____________________________ State: __________________ Zip Code: __________
Order Form
Tall LT-5XT
Jacket Options Leather-$225 Vinyl-$190
* Add $10 for every size beyond XL(10,20,30...) ** Add $10 for Talls (2” Longer Body & Sleeves) * Add $5 for every size beyond XL(5,10,15...) ** Add $5 for Talls (2” Longer Body & Sleeves)
Name on Breast: Graduation Date: Payment Information Card No.: Exp. Date:
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Street #:
Check #_________ Payable to Plymouth South Booster Club
Money Order Cash
Zip of Card: Please Allow 6-8 weeks for delivery
Signature: ____________________________ Any mistakes on this page are not the fault of G&G Silkscreen