ST. AGNES ACADEMY DADS' CLUB WEARABLES ORDER FORM NAME ___________________________________________________ DAUGHTER'S NAME AND GRADE __________________________________________________________ ADDRESS ________________________________________ ________________________________________ PHONE __________________________________________ LIST QUANTITY NEXT TO CORRECT SIZE: SHIRTS: SML _____ MED _____ L _____ XL _____ XXL _____ TOTAL SHIRTS: _______ @ $ 35.00 EACH >> AMOUNT $ _________ HATS: NUMBER OF HATS ______ @ $15.00 EACH >> AMOUNT $ _________ TOTAL ENCLOSED AMOUNT $ __________ THANK YOU! Mail to: St. Agnes Academy, c/o Dads' Club, 9000 Bellaire Blvd., Houston, TX 77036