Broken Arrow Wear

BROKEN ARROW WEAR
SCREEN PRINTING & EMBROIDERY
4133 Merle Hay Road, Des Moines, Iowa 50310 /

ORDER FORM ORDER DUE:

Name
Phone#
School
/ orders will be ready for pick up
at
on
GARMENT / COLOR / YTH M
(10-12) / YTH L
(14-16) / S
ADULT / M
ADULT / L
ADULT / XL
ADULT / XXL
ADULT / XXXL
ADULT / PRICE / QTY / LINE TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Subtotal / $
For XXL add $ per item / $
For XXXL add $ per item / $
For the Personalization add $5.00 per item
garment / location / personalize with
(name or #)
$
$
$
Please add % tax / $
GRAND TOTAL / $

PAYMENT BY □ credit card □ check* □ cash

CC# ______−______− ______

Exp. Date _____/_____ Signature ______

*Make all checks payable to ______

**If minimum order is not met, items may not be produced, customer will be notified prior to delivery in such a case.