United High School Apparel Order Form

Adult Sizes. 100% preshrunk jersey-knit cotton. Seamless double needle 7/8" collar, sleeves and hem.

Spirit Wear

Qty

Description

Amount

Total

$60.00

---

$60.00

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$55.00

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Non hooded sweatshirt

$55.00

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Non hooded sweatshirt

$25.00

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$29.00

---

$29.00

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$30.00

---

$8.00

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Name printed on back

$5.00

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Name or Number printed on Sleeve

Processing Fee

$3.00

Total: $3.00

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Test Payment Information

Name on Card = test
Card Type = VISA
Card Number = 4222222222222 (4 followed by 12 twos)
CSC = 123
Exp Date = 10/20

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *