2004-05
ERICSON
ELEMENTARY
T-shirts
 Delivery information:

Student’s Name: _____________________________________ Phone Number ___________

Teacher’s Name: _____________________________________ Room Number: ____________

Order information:
Shorts will be sold first come, first served.
There is limited inventory.
The design and color t-shirt for the short and long shirts are the same.
Short-
sleeved
T-shirts		 How many? Price Total Cost Long-
sleeved
T-shirts		 How many? Price Total Cost
Youth
Small
6-8
X $5
Youth
Small
6-8
X $10
Youth
Medium
10-12
X $5
Youth
Medium
10-12
X $10
Youth
Large
14-16
X $5
Youth
Large
14-16
X $10
Adult
Small
34-36
X $10
Adult
Small
34-36
X $15
Adult
Medium
38-40
X $10
Adult
Medium
38-40
X $15
Adult
Large
42-44
X $10
Adult
Large
42-44
X $15
Adult
X-Large
46-48
X $10
Adult
X-Large
46-48
X $15
Adult
XX-Large
50-52
X $10
Adult
XX-Large
50-52
X $15
Adult
XXX-Large
54-56
X $10
Adult
XXX-Large
54-56
X $15
Totals:







Payment information:
Total amount enclosed$__________.
Make checks payable to: ERICSON PTA.
For more information, contact Shannon Daley at 858 271-0505.
For PTA Use Only:
 Cash Check No. Amount Accepted by Date