Balfour Letter Jacket Order Form

SCHOOL*
Student's Name*
Address
City/State/Zip
Phone*
Choose your Price Package: *Please see Pricing on our website.

Basic Jacket $144.00Spirit Package $234.00Deluxe Package $294.00LOOSE PATCHES ONLY
1A. Jacket Size: (Students are sized at School on Order Day. If Student cannot be Sized by a Sales Rep, Student will be responsible for giving correct jacket size. Our Sizing Chart can be found on our website. We are NOT responsible for jackets that do not fit if the Student was not sized by a Sales Rep.

SmallMediumLargeX-Large2XL3XL4XL5XL
1B. Jacket Alterations (if needed)

Shorten Sleeves 2"Shorten Sleeves 4"Lengthen Sleeves 2"Lengthen Sleeves 4"Shorten Body 2"Shorten Body 4"Lengthen Body 2"Lengthen Body 4"
Sleeve Options:*

Vinyl (Included in Jacket Price)Leather - Adds $85
2. Name Embroidered on Front Right Chest- up to 2 lines.
Most Popular: John '27
3. Sports/Activity Inserts and Bars: (List sports/activities/club etc and list the # of bars per sport/activity. i.e. Baseball- 2 , Archery- 4, Cross Country- 1)
4. Back of Jacket Options:
Back of Jacket Font: *Samples of Each can be found on our website*

Chenille (Script) $45Large Embroidered (Script) $35Tackle Twill (Block) $60Chenille (Block) $45
Name for Back of Jacket:
Add Tail to Chenille- Adds $25:
*only available for Chenille Script Names
Sleeve Patch Options:

Choose ALL that Apply. Patches are included in Packages. Extra patches are $30 each.
Graduation Year: 2 Digit or 4 Digit - Write in Year Date (i.e. '26 or 2026)
Graduation Year:
School Mascot:
Position: (List position abbreviation needed. If multiple, only 2 can be listed together as 1 patch as shown in sample above.)
Position:
Jersey Number #1: 2 Styles Available- Plain Jersey Number or Number on Ball (see pictures for reference. PLEASE SPECIFY IF YOU WANT NUMBER ONLY OR BALL WITH NUMBER. Default will be Plain Number.
Jersey Number #2:
Activity/Championship Patch: List Patch Description & Embroidery

(i.e. Football: 1-3A Division Champions 2023 or Bowling #3007)

View our Patch Brochure online at www.scholasticMSTN.com/jacket-patches.
Activity/Championship Patches: Please number patches if more than one.
Email for Order Confirmation:*
example@example.com
After you Submit your Order, an e-mail confirmation will be sent within 24 hours. You MUST confirm the order is correct before your jacket will be made. You can include your payment information below or submit a payment on our website by clicking 'Make a Payment' at the top of the page. Your card will NOT be charged until the order is confirmed.
Card Number: * * *
*
Expiration Date:*
Please include month and year.
Payment Amount:*
$100 Deposit due with each order. You will receive a confirmation email with your grand total once order is submitted.
Should be Empty:

4. Back of Jacket Options:

Sleeve Patch Options: