North Pulaski High School Band

ORDER FORM

(Complete this form and return WITH money on the first day of Summer Band.  If a payment plan needs to be used, parents should send a note to the director outlining the plan that is needed.)

  NAME ______________________________________________________________________

ITEM                             SIZE                               QUANTITY                  

Band T-Shirt                           Small     __________              ___________              

($15 each)                               Medium __________              ___________              

                                                Large     __________              ___________              

(Parents should                    X Large  __________             ___________              

  place their orders              XX Large _________             ___________              

  here!!!)                                 Other     __________              ___________              

Band Shoes                                       ___________             ___________              

($27 per pair)

  Gloves             (2 pair recommended)      ___________         ___________              

($4.50 per pair)

                                                                                                          Total           ___________

                                                                                                      Total Paid     ___________

                                                                                                        Total Owed   ___________