Jazz Ensemble

Polo Shirt Order Form

This form must be printed and returned to Band Director with payment.

This shirt offer is NOT A FUNDRAISER. This is the actual cost to purchase.

Name_______________________________

Size Circle One

S M Lg XL 2XL 3XL (2XL and 3XL $3.00 extra)

Black Polo Shirt with RFA Jazz Band Logo $22.00

Name Embroidery (max 12 letters) Print

Make checks payable to: The Knight Spot

Due Date Feb 1, 2006