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IMMANUEL LUTHERAN SCHOOL UNIFORM ORDER FORM Please direct all questions to Nikki Rutzen at (847) 721-7038
FAMILY NAME
GRADE(S) _____________
TELEPHONE
SHORT SLEEVE
LONG SLEEVE
CREWNECK SWEATSHIRTS
*Payment is due upon ordering by cash or check to Immanuel Lutheran School. Revised Aug 2017
YOUTH POLO SHIRT 5oz. 65/35 poly/cotton pique sport shirts.
YOUTH POLO SHIRT 7oz. 100% cotton pique sport shirts.
Y500 – Short sleeve (maroon, grey, black, white) $15 Y500LS –Long sleeve (maroon, black, white) $20
Y420 – Short sleeve (black or white) $15 ADULT POLO SHIRT 7oz. 100% cotton pique sport shirts.
ADULT POLO SHIRT 5oz. 65/35 poly/cotton pique sport shirts.
K420 – Short sleeve (maroon, grey, black, white) $20
K500 - Short sleeve (maroon, grey, black, white) $20 K500LS –Long sleeve (maroon, grey, black, white) $25 LADIES ADULT POLO SHIRT 5oz. 65/35 poly/cotton pique sport shirts.
L420 - Short sleeve (maroon, grey, black, white) $20
L500 - Short sleeve (maroon, grey, black, white) $20 L500LS –Long sleeve (maroon, black, white) $25
CREWNECK SWEATSHIRT 7.75oz. 50/50 cotton/poly sweatshirt. 1800B – Youth M or L (maroon, grey, black, white) $15 1800 – Adult S,M,L,XL (maroon, grey, black, white) $15
YOUTH SIZES AVAILABLE S(6-8) M(10-12) L(14-16) XL(18-20) ADULT SIZES AVAILABLE S M L XL (Others upon request)
ITEM #
LADIES ADULT POLO SHIRT 7oz. 100% cotton pique sport shirts.
COLOR
SIZE
(All colors NOT available in all shirts)
CIRCLE One:
QTY
Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult Youth Adult
Checks should be made to: Immanuel Lutheran School or ILS
Paid by: Check #
Cash
Total # Pieces TOTAL $
Please direct all questions to Nikki Rutzen at (847) 721-7038
TOTAL $