School Name & Phone #:   ______________________________________
Form Due via fax @ 713-937-7980 on Thursday, November 3, 2011
Money Due to Liaisons on Thursday, December 1, 2011
Children's Sizes Available

Children:  $6.00 Each

Price

$6.00

Children

Size-Small

Children

Size-Medium

Children

Size-Large

Children

Size-X-Large

Children

Total T-Shirts

 

Quantity

         

X

$6.00

 
TOTAL AMOUNT DUE FOR CHILDREN T-SHIRTS

 
 

Adults:  $8.00 Each (for sizes Small, Medium, Large and X-Large)

Price

$8.00

Adult

Size-Small

Adult

Size-Medium

Adult

Size-Large

Adult

Size-X-Large

Adult

Total T-Shirts

 

Quantity

         

X

$8.00

 
TOTAL AMOUNT DUE FOR ADULT T-SHIRTS

 
 

Adult:  $9.25 Each (for sizes XX-Large, XXX-Large and XXXX-Large)

Price

$9.25

Adult

Size- XX-Large

Adult

Size- XXX-Large

Adult

Size- XXXX-Large

 

Adult

Total T-Shirts

 

Quantity

         

X

$9.25

 
TOTAL AMOUNT DUE FOR ADULT PLUS SIZE T-SHIRTS

 
 

 

GRAND TOTAL

 

$ ________

*  For Additional Information Please Contact Israel Gomez, Jr. @ 832-689-4518