Order Form 2002-03 - Pack 272

Tiger Cub Uniform

Name: ________________________Phone # _____________

Required Items:    

1. Shirt:  Size : S   M    L                                                       Cost: $9.95                            Total: ______

2. Book:                                                                                   Cost: $3.50                            Total: ______

Total of Required Uniform Items           Sub Total #1: ___________

Optional Items

Belt:                                                                                        Cost $8.45                             Total: _______

Hat:    Size:  S/M  or M/LG                                                 Cost $11.50                            Total: _______

Sub Total #2: ___________

Total’s of  #1 and #2: ____________

                           6.5% Tax: ___________

Total Due: Check Made out to Pack 272_________________     

Tiger Cub: (includes tax)                                        

Only required =  $14.33

Req. w/belt = $23.33     

Req. w/hat = $26.57      

Req. w/belt & hat = $35.57