PBL Band Embroidered Shirts and Jackets Form

Name___________________________________________

Phone___________________________________________

To place an order please contact :

Marilee Watson, sam7nmlee@conxxus.com  329-2178 or 781-2790

 
Design

Style

 1, 2, 3 4, 5, 6
polo $17.50 $22
t-shirt $15 $20
denim $20 $25
windjacket $30 $35
Total:  .  $

Style (polo, t-shirt,  denim, windjacket)

Size (S, M, L, XL XXL)

Embroidery Design

(see below for #’s)

Personalization

(up to 12 letters)

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total:

$