UCBSO $12 T-SHIRTS!

Name_____________________________

Class of ________

		Quantity	Total
Small	$12 x	_____	= ___________
Medium	$12 x	_____	= ___________
Large	$12 x	_____	= ___________
X-Large	$12 x	_____	= ___________
XX-Large	$12 x	_____	= ___________

 

 

 

 

 

 

 

 

 

 

 

Amount enclosed $_____________

 

Make checks payable to:
UCBSO 2002
Place order forms with checks in the mailboxes of SORIANO(III) OR CHUA(III)