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Bloomington Elementary School T-shirt Order Form. Order and cash payment is due to the BES office by September 20, 2013. Shirts will be 50/50 poly/cotton blend. Graphic is white and black ink. Student’s Name: _____________________________________________

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Bloomington Elementary School

T-shirt Order Form

Order and cash payment is due to the BES office by September 20, 2013

Shirts will be 50/50 poly/cotton blend. Graphic is white and black ink.

Student’s Name:_____________________________________________

Campus (circle one): BES PES BMS BHS

Teacher’s Name:_____________________________________________

* Please indicate the quantity you are ordering by writing the number in the correct color column.

OFFICE USE:

Total # of shirts ordered: _________ Total amount due: __________ Paid: __________