WIC sweatshirt order form
Please fill out this form to order the Women in Charge sweatshirt. This sweatshirt will count as a uniform shirt for Moultrie Middle School.
Email address *
Image on the back of white sweatshirt.
The WIC logo will appear on the upper left of front on shirt.
Back of white WIC sweatshirt.
Student last name *
Your answer
Student first name *
Your answer
Parent contact name *
Your answer
Parent Email *
Your answer
Student email *
Your answer
Homeroom teacher *
Sweatshirt size (ladies cut - NOT over sized) *
How many sweat shirts do you want to order? *
Required
I understand the sweatshirt price is $20.00 *
Required
DONATIONS: I would like to help other WIC who may not be able to pay for a sweatshirt at this time. I will send in extra payments for the following number of sweatshirts.
Submit
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