Student’s Name: _____________________________________________

1. Bloomington Elementary School T-shirt Order Form Order and cash payment is due to the BES office by September 20, 2013 Shirts will be 50/50 poly/cotton blend. Graphic is white and black ink. Student’s Name:_____________________________________________ Campus (circle one): BES PES BMS BHS Teacher’s Name:_____________________________________________ * Please indicate the quantity you are ordering by writing the number in the correct color column. OFFICE USE: Total # of shirts ordered: _________ Total amount due: __________ Paid: __________