Perfect Edge Hockey & Lacrosse
3621 E. Grand River Ave.
Howell, MI 48843
517-546-1897
[email protected]
Name:____________________________________________________Date:_____________
Phone # ________________________________
Email:____________________________________________
School-_______________________________________________Year-_____________
Jacket Color _________________________________Size of Jacket-________
Name on front of Jacket-________________________________Thread Color-______________
Placement of Year-____________________________________________________________
Placement of added patch(es)-___________________________________________________
Back of Jacket-
Thread Colors____________________
Line 1___________________________________________________________
Line 2___________________________________________________________
Line 3___________________________________________________________
Line 4___________________________________________________________
Line 5___________________________________________________________
Line 6___________________________________________________________
Varsity Jacket Cost:
Subtotal: $250.00
Added Patch (+$20):
Tax:
TOTAL:
Signature________________________Date_________
By signing I agree that all information, including
spelling is correct. Any changes or additions may
be subject to additional fees.
