Breast Cancer Awareness Polo Order Form Campus Ministry is selling black polo shirts with a pink ribbon to raise breast cancer awareness. Polos can be worn by student as a part of our daily uniform but are available for purchase to the entire school community. Proceeds from these shirts will go to support the HERS Foundation.

$25 per Polo NAME:_________________________________ GRADE:_______

Men’s Cut

Size: XS S M L XL XXL TOTAL: QTY QTY QTY QTY QTY QTY

Womens’ Cut

Size: XS S M L XL XXL TOTAL: QTY QTY QTY QTY QTY QTY

Total Ordered:

Amount Due:

Forofficeuseonly:PaymentDate: PaymentMethod: PaymentAmount:

Please return money and order form to school office by 10/4/17