PE Wear Order Form.xlsx

	C	E	F	G	H	I	K	M	N
1
2	Eliot Arts PTSA
3	PE Wear Order Form
4
5
6	STUDENT INFORMATION
7
8	Student:						Grade:
9	PE Period:	PE Teacher:
10	Parent Phone:				Email:
11
12	CREDIT CARD INFORMATION
13
14	Credit Card Type:		MasterCard			Visa	Cash
15
16	Card Number:	-- -- --
17	Exp. Month/Year:	/		CVV/SC:				Zip Code:
18
19	ORDER INFORMATION
20
21	ITEMS	SIZE (Adult)			PRICE		QTY		TOTAL
22	Gym T-Shirt	XS S M 1X 2X			$10.00
23	Gym T-Shirt	XS S M 1X 2X			$10.00
24	Gym Short	XS S M 1X 2X			$15.00
25	Gym Short	XS S M 1X 2X			$15.00
26	Hoodie	XS S M 1X 2X			$25.00
27	Hoodie	XS S M 1X 2X			$25.00
28	Sweat Pant	XS S M 1X 2X			$20.00
29	Sweat Pant	XS S M 1X 2X			$20.00
30
31	ADD-ONS
32
33	ITEMS	SIZE (Adult)			PRICE		QTY		TOTAL
34	Vintage T-Shirts	XS S M 1X 2X			$5
35	Vintage T-Shirts	XS S M 1X 2X			$5
36	Gym Bag				$5		OUT OF STOCK
37	Gym Bag				$5		OUT OF STOCK
38	Magnet				$20
39	Magnet				$20
40	Husky Nation Sticker				$10
41	Husky Nation Sticker				$10
42	By signing below, I acknowledge charges described herein in the total amount of USD :
43
44	I authorize Eliot Arts PTSA to charge my account in the total amount above.
45
46
47	Name						Date
48
49
50	Signature
51
52