WCHAS Uniform Order Form for Logo Items
Student Full Name:  __________________________________________ Date:  _____________
Contact Name:  ____________________ Grade:  _____________
Description Quantity Size Unit
Price
Total
Cost
Received
Date
Pick-Up
Date
Pending /
Re-order
Sizes available:  YOUTH ($10 ea) - XS, S, M, L, XL    and      ADULT ($12 ea) - S, M, L, XL, XXL
T-Shirt w/Logo, Navy Blue only              
               
               
               
               
               
Description Quantity Size Unit
Price
Total
Cost
Received
Date
Pick-Up
Date
Pending /
Re-order
Sizes available:  YOUTH ($25 ea) - S, M, L     and      ADULT ($28 ea) - S, M, L, XL
Fleece Jacket, w/zipper, Navy Blue only              
               
               
               
  Grand Total
If any question(s), contact Jo Davis at (626) 859-5005   Paid (Check No. ______)
  Paid Cash (Receipt No. _________)