www.txstarrecognition.com

Texas Star Recognition Order Form:

First Name: Last Name:

Student Address: Student Email: City: State:

Zip Code: Phone Number: Date of Order: Jacket Awarded For: School Name: School City: School State:

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Award Letter Insert: ---------------------------------------------------------------------------

Name on Back of Jacket: -------------------------------- -----------

 


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Graduation Year Date

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w/ Sport Insert (Additional Cost) --------------------

---------------------------------------Patch 1 Cost
Patch 2 Description Patch 2 Lettering
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--------------------------------------------------------------All Prices Subject to Audit---------------------------------------------------------------------------------

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-------------------------------------------------------------Multiply Subtotal by .0825 (8.25%) forTexas Sales Tax------------

------------------------------------------------------------------------------------------------------------------------------------Shipping--------$10.00----------


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