ORDER FORM

Simply print and fill out this order form, enclose your payment, and drop it in the box provided in our studio.

All sizes are available at the studio for you to try on.

Order Information:

Name:______________________________________________

Phone: _____________________________________________

Email: ______________________________________________

Item(s):

Jacket ($45 youth/$50 adult)

Small ____ Medium _____ Large _____

Name to be embroidered (included in the price of the jacket! ): ______________________________________________________

Additional Embroidery ($4 extra): ___________________________
 

Sweatshirt ($30 youth/$33 adult)

Small ____ Medium _____ Large _____

Name to be embroidered (included in the price of the sweatshirt! ): ______________________________________________________

Additional Embroidery $4 Extra: ___________________________
 

Backpack ($15 each) ______

Cash or check only. Please make payment to “LaPierre School of Dance.”