![Logo%202010[1]](Mum%20order%20form_2010_files/Mum%20order%20form_2009_3906_image002.gif)
| JERSEY VILLAGE 2009 HOMECOMING MUM/GARTER ORDER |
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Last Name: |
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First Name: |
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Home Phone: |
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Cell Phone: |
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Lunch Period: |
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| BASE PRICE |
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RIBBON
COLOR |
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| Triple |
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$ 125.00 |
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Underclass: |
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| Double |
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$ 100.00 |
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Purple-White-Gold |
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| Single |
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$
60.00 |
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| Mini |
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$
45.00 |
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Senior: |
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| Garter |
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$
35.00 |
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White-Gold |
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| Note: Please note that substitutions may be made
due to availability of merchandise. |
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| NAMES ON STREAMERS/ Names - Numbers - Nicknames - Class
of…. |
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| SPECIAL INSTRUCTIONS |
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| EXTRA CHARMS |
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| Trinkets -
$1.00 |
QTY |
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Trinkets - .10 |
QTY |
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Misc -
Chains, Braids, Bubbles, Falcon Head |
QTY |
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| Football
"Charge" |
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Round Football |
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Metal Chain - Hearts and Stars |
$ 2.00 |
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| Goalpost "It's
Good" |
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Metal Chain - Stars, Drill, Basketball, |
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| Football player |
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Trinkets - .50 |
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Football, Soccer, Volleyball |
$ 2.50 |
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| Megaphone "Go
Team" |
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Football Helmet |
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| Band |
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#1 |
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Ribbon Braid - Vertical |
$ 3.00 |
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| Drill Team with Stars |
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Football "We are #1" |
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Ribbon Braid - Vertical |
$ 4.50 |
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| Classification Star -
9, 10, 11,
12 |
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Ribbon Braid - Vertical |
$ 5.00 |
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| Volleyball |
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Trinkets - .75 |
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Ribbon Braid - Horizontal |
$ 3.00 |
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| Swimming |
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Bell |
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| Baseball/Softball |
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Whistle |
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Bubbles |
$ 0.75 |
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| Basketball |
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Go Team-purple |
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| Soccer Ball |
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Go Team-gold |
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Falcon Head (with Bear) |
$ 3.50 |
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| Track |
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Falcon Head (in place of Bear) |
$ 1.00 |
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| Tennis |
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Trinkets - $1.50 |
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| Golf |
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Homecoming Wording |
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Bear (additional one) |
$ 2.50 |
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| Cheerleading |
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Homecoming Ribbon |
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| Cowboy Boot |
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Trinkets - $2.00 |
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Horseshoe |
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Payment: |
Summary
of Cost: |
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| Payment due at time of
order. |
Cash: |
Base Mum/Garter: |
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| Make check payable to
JV Project Prom. |
Check: |
Extras: |
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Check #: |
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| Date: |
Initial: |
Price includes tax. Do not add tax. |
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| Grand Total: |
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