Leo Alumni Order Form

LEO ALUMNI ORDER FORM
Brought to you by Leo H.S. Alumni Association

ITEM #	DESCRIPTION	S	M	L	XL	XXL	PRICE	TOTAL
LA-200	Black / White Antigua Polo Shirt	X	X	_____	_____	_____	$45.00	_____
LA-300	Stone Antigua Windshirt	X	X	_____	_____	_____	$45.00	_____
LA-300	Orange Antigua Windshirt	X	X	_____	_____	_____	$45.00	_____
LA-400	Black Hooded Sweatshirt	X	X	_____	_____	_____	$30.00	_____
LA-500	Youth Grey T-Shirt	(2-4)	(6-8)	(10-12)	(14-16)	X	$15.00	_____
LA-700	Gym Shorts	X	X	_______	_______	_______	$25.00	_______
LA-800	Black Hooded Sweatshirt w/ Pocket	X	X	_______	_______	_______	$35.00	________
LA-900	Fleece Pullover	X	X	_______	_______	____	$40.00	_____
ITEM #	DESCRIPTION	X	X	X	X	QTY	PRICE	TOTAL
LA-100	Coffee Mugs	X	X	X	X	_____	$10.00	_____
LA-600	Black Baseball Cap	X	X	X	X	_____	$15.00	_____
LA-150	Umbrella	X	X	X	X	_____	$30.00	_____
LA-650	Stone Baseball Cap	X	X	X	X	_____	$15.00	_____
LA-750	Knit Hat	X	X	X	X	_____	$15.00	_____

Additional for XXL

$2.00 per item:

_____

SUB TOTAL:

_____

Shipping & Handling: At Cost - Please use the chart below.

SHIPPING:

_____

TAX EXCLUDED	STANDARD	PRIORTY
$10.00 & Under	$7.00	$22.00
$10.01 to $25.00	$8.50	$23.50
$25.01 to $50.00	$11.00	$26.00
$50.01 to $75.00	$13.00	$28.00
$75.01 to $100.00	$16.00	$30.00
$100.00 to $200.00	$18.00	$33.00
$200.00 & Over	Freight billed at 9%	Freight billed at 9%

_____

TOTAL:

Name:

Date:

Address:

Phone:

Signature:_______________________________________

Payment: Cash Check # _______
(Payable to Leo Alumni Association)
Send checks to:
Leo Alumni Assoc., ATTN: John Gardner, Store
PO Box 603
Oak Lawn, IL 60454

Print this page, complete the order form
and fax to Tammi at (708) 598-6299