Siuslaw Basketball Team Gear Order Form  2009-2010
Print and use this form when  placing your order with the coach.   Turn Form In  By  November 23, 2009   
Product Description            
QTY
________        $13.00        ________
AL -569  9" Mesh short   Royal  with Embroidered Logo                          
Circle Size:   S   M    L   XL   XXL     
Name: ______________________________________________
Price
Total
AL -560R  Men's Mesh Practice Jersey                                                         
Circle Size:   S   M    L   XL   XXL     
________        $15.00        ________
AL -560RW   Women's  Mesh Practice Jersey                                                     
Circle Size:   S   M    L   XL   XXL     
________        $15.00        ________
SM-12500  Royal Hooded Sweat Shirt with Embroidered Logo Front             
Circle Size:   S   M    L   XL   XXL     
________        $29.00        ________
SM-18200  Grey Sweat Pant with Embroidered Logo Front                     
Circle Size:   S   M    L   XL   XXL     
________        $15.00        ________
SM-K469  Royal Dri-Mesh Men's Sport Shirt Embroidered Logo Front           
Circle Size:   S   M    L   XL   XXL     
________        $25.00        ________
SM-K469  Royal Dri-Mesh Women's Sport Shirt Embroidered Logo Front    
Circle Size:   S   M    L   XL   XXL     
________        $25.00        ________
Attach check payable to: Siuslaw High Basketball  and submit form to your coach.  You can also order other Siuslaw Viking
Apparel at  www.siuslawvikings.net    
SM-PC61LS  Long Sleeve Cotton T-Shirt Black  with Royal and Gold
Screen Print Logo Front
 GIRLS BASKETBALL   Last Name in Gold on the  
High Back .
Circle Size:   S   M    L   XL   XXL     

NAME : _____________________________________________
________        $18.00        ________