PMHA 2010/2011 Clothing Order Form

PMHA 2010/2011 Clothing Order Form
Hats
P-Town Hat
Trapper Hat
Embroidery $5
Hoodies
Youth Forest Green Hoodie $45
Youth Bright Green Hoodie $45
Adult Forest Green Hoodie $55
Adult Bright Green Hoodie $55
Warm Up Suit
Youth Bauer Suit $105
Digital Name $7
Adult Bauer Suit $120
Digital Name $7
Jacket Only
Youth Bauer Jacket $65
Digital Name $7
Adult Bauer Jacket $70
Digital Name $7
Pants Only
Youth Bauer Pant $40
Adult Bauer Jacket $50
Purchaser Information
Full Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Team
Phone Number

Area CodePhone Number
Should be Empty: