2015-2016

MOUNTAIN LAKES VARSITY JACKET ORDER FORM

NAME ____________________ SPORT_______________________

SIZE __________   UNIFORM NUMBER ON RIGHT SLEEVE __________

POSITION ON LEFT SLEEVE _________________

(Includes 2 Letters on one line, for 2nd line add $10)

BACK OF COLLAR (CAN BE LAKERS OR NICKNAME) _________________ 

NAME ON RIGHT CHEST (FIRST OR LAST?) PLEASE SPECIFY___________

VARSITY LETTER ON LEFT CHEST _____________  (SUPPLIED BY PLAYER-RECEIVED AT BANQUET)     KEEP PINS AT HOME- HAVE VARSITY LETTER, ORDER FORM, AND CHECK TOGETHER WHEN PLACING ORDER. PLEASE BRING ALL ITEMS TO JANICE TRIPUCKA OR MAIL TO TK TRIPUCKA

YR OF GRADUATION INSIDE SPORT LOGO ON BACK______________

YOUR E-MAIL __________________________ 

YOUR CELL#____________________________

YOUR ADDRESS____________________________

                            ____________________________

PRICE $ 310.00    ($320 if 2nd line for position)

CHECK MADE PAYABLE TO: TK SALES

MAIL TO: TK TRIPUCKA, 578 MAIN STREET LITTLE FALLS, NJ 0742

TK CELL 973-493-9727 OR CALL JANICE TRIPUCKA 973-335-3769

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