CLUB JACKET ORDER FORM

ALL CLUB JACKETS ARE EMBROIDERED WITH THE CLUB LOGO ON THE BACK AND FIRST NAME EMBROIDERED ON THE FRONT LEFT CHEST AREA.

PLEASE CIRCLE ONE SIZE ONLY PER OREDER FORM

JACKET SIZES AVAILABLE
ADULT SIZES $68.00 ea.

SM MED LRG XL
YOUTH SIZES $65.00 ea.

MED (10-12) LRG (14-16) XL (18)

PANT SIZES AVAILABLE

ADULT SIZES $25.00 ea.

SM MED LRG XL
YOUTH SIZES 22.00 ea.

MED (10-12) LRG (14-16) XL (18)

CLEARLY PRINT FIRST NAME TO APPEAR ON LEFT FRONT OF JACKET
(one letter per line)

_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____

(If you do not want a name on your jacket, please check here ________)

PLEASE FILL IN WHO WE MAY CONTACT WHEN YOUR ORDER IS IN:

 

NAME _______________________________________________

PHONE (______ ) ________ - ___________

ADDRESS __________________________________________________________

____________________________________________________________________

 

Make checks payable to:

South Bay FSC

Mail form & fees to:

Barbara Farmer
26431 Birchfield Ave.
Rancho Palos Verdes, CA 90275

METHOD OF PAYMEYT: CASH:_______________ CHECK: ______________

DATE PAID:________________ PAYMENT RECEIVED BY: _______________________