spirit shirts

St. Bernard Academy 2015-2016 Basketball T-Shirt Order Form PLEASE RETURN YOUR ORDER FORM AND PAYMENT (MADE OUT TO SBA) TO BROOKE REUSCH IN THE MAIN OFFICE BY NOVEMBER 16. ORDERS WILL BE DELIVERED TO YOUR STUDENT(S) BEFORE THE 1ST GAME ON DECEMBER 4. FRONT POCKET DESIGN

YS YM YL 6-8 10-12 14-16

S

BACK DESIGN

M

L

XL

QTY (Short Sleeve) QTY (Long Sleeve)

XXL XXXL

TOTAL QTY

PRICE EACH

AMOUNT DUE

X $20.00

$

X $25.00

$

NAME: ______________________________________________________________________ EMAIL: ____________________________________

PHONE: _____________________

PAYMENT METHOD:

□ CHECK □ CREDIT CARD □ CASH

CHECK # ____________________________________________ CARD # ____________________________________________ EXP.

_______________________ CID# ________________