H.S.P.A. Dance Wear Order Form

NAME: _______________________________________

ADDRESS:  ___________________________________

CITY:  ________________________________________

PHONE NUMBER:  _____________________________

CIRCLE SIZE

NAME PRINTED

HSPA SWEATSHIRT

$48.00

CS

CM

CL

AS

AM

AL

AXL

2X

HSPA YOGA PANT

$28.00

S(2-4)

M(4-6)

L(6-8)

XL(8-10)

HSPA SHORTS

$15.00

CS

CM

CL

AXS

AS

AM

AL

HSPA JACKETS

$48.00

CS

CM

CL

AS

AM

AL

AXL

1X

HSPA SWEATPANTS

$28.00

AS

AM

AL

AXL

GARMENT BAGS

$28.00

DEADLINE:

November 15, 2005

Money due at time of order

Delivery will be in time for Christmas