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William Davies Middle School Concert Band and Show Choir Student’s Name_____________________ Hr. #________ Hr. Teacher________________Phone____________________ Parent’s Name (Printed) _______________________________ Parent’s Name (signature) _____________________________ Red Short Sleeve Shirt with Performing Arts Logo Small_______Quantity_______@$20.00 each = $____________ Med. ___ Quantity_______@$20.00 each = $____________ Large______ Quantity_______@$20.00 each = $___________ XLarge_____Quantity_______@$20.00 each = $____________ 2Xl_______ Quantity_______@$20.00 each = $____________ Total Shirts Ordered_____________Shirts Received____________ Check #____________Cash________Money Order_________Paid_______Owes_____ Please send in cash, check, or money order for the total amount of the shirts. All shirts are Adult Sizes___________________________ |