Miller Place Athletic Booster Club Jacket Order Form

Customer Name*

First NameLast Name

Phone Number*

Email*

example@example.com

Charles River Hooded Lined Jacket

ADULT SIZES

$65.00

	Quantity
XS
S
M
L
XL
XXL
XXXL

YOUTH SIZES

$65.00

	Quantity
S
M
L
XL

Item subtotal:$0.00

Total

$0.00

Credit Card

JACKET PICKUP DAY WILL BE HELD ON

THURSDAY, OCTOBER 16th 7pm-8pm

IN THE MILLER PLACE HIGH SCHOOL LOBBY

ALL ORDERS NOT PICKED UP WILL

BE BROUGHT BACK TO TROPHY HUT AND CAN BE PICKED UP THERE:

29 ROCKY POINT YAPHAND RD. SUITE 5

ROCKY POINT, NY 11778