Kamehameha

 Schools  
Class  of  2014  T-­Shirt  Order  Form  
Please  indicate  the  quantity  and  size(s)  of  t-­‐shirt  that  you  would  like  to  purchase  by  filling  in  the  
appropriate  spaces.  Please  make  checks  payable  to:  Kamehameha  Schools.  Please  indicate  Class  of  2014  
and  student’s  name  in  the  memo  section.  NO  CASH  WILL  BE  ACCEPTED.  DEADLINE:  Wednesday,  
February  16,  2011.  Return  completed  form  and  payment  to  the  ‘Akahi  Student  Center.  Keep  the  PINK  
copy  for  your  records.  
STUDENT  NAME:  _____________________________________________  HOMEROOM  TEACHER:  _________________________  
 
 

 
 

 
 

 
BLACK  T-­Shirt   YELLOW  T-­Shirt  
  Quantity     Cost   Total       Quantity     Cost   Total  

Small     x   $5.50   $     Small     x   $5.50   $  

Medium     x   $5.50   $     Medium     x   $5.50   $  

Large     x   $5.50   $     Large     x   $5.50   $  

X-­Large     x   $5.50   $     X-­Large     x   $5.50   $  

2X-­Large     x   $6.50   $     2X-­Large     x   $6.50   $  

3X-­Large     x   $7.50   $     3X-­Large     x   $7.50   $  

 
TOTAL  (BLACK  T-­Shirts)   $   TOTAL  (YELLOW  T-­Shirts)   $  
         

TOTAL  Amount  Enclosed:   $      

Do  NOT  write  below  this  line  

For  Official  Use  Only:      

      Amt  Collected     Check  #  
     
White:  Class  of  2014   Yellow:  Treasurer   Pink:  Parent