order forms for Pink Out shirts

Pink Out Shirts
Back
Front
This year’s shirt is HOT PINK with light pink and black letters. All proceeds go to
the Malesa Talmage scholarship and breast cancer research.
See the full-color design at
centuryschooldistrict100.com.
Please turn in orders and money to either office by FRIDAY, JAN. 23, checks
payable to Century Pink Out. We CANNOT accept late orders.
Short-sleeve t-shirt
$11
(add $1 for 2XL, $2 for 3XL, $3 for 4XL)
Please write the quantity desired in the appropriate boxes.
Youth
Small
(6-8)
Youth
Med.
(10-12)
Youth
Large
(14-16)
Adult
Small
Adult
Med.
Adult
Large
Adult
XL
Adult
2XL**
Adult
3XL**
Adult
4XL**
Shortsleeve
tee ($11)
Name______________________________________
Total shirts ordered ___________
Teacher or grade ___________________________
Amount due_________________
Phone number _____________________________
**(add $1 for 2XL, $2 for 3XL, $3 for 4XL)