•                                                  2015-2016

    MOUNTAIN LAKES VARSITY JACKET ORDER FORM

    NAME ____________________ SPORT_______________________

    SIZE __________   UNIFORM NUMBER ON RIGHT SLEEVE __________

    POSITION ON LEFT SLEEVE _________________

    (Includes 2 Letters on one line, for 2nd line add $10)

    BACK OF COLLAR (CAN BE LAKERS OR NICKNAME) _________________ 

    NAME ON RIGHT CHEST (FIRST OR LAST?) PLEASE SPECIFY___________

    VARSITY LETTER ON LEFT CHEST _____________  (SUPPLIED BY PLAYER-RECEIVED AT BANQUET)     KEEP PINS AT HOME- HAVE VARSITY LETTER, ORDER FORM, AND CHECK TOGETHER WHEN PLACING ORDER. PLEASE BRING ALL ITEMS TO JANICE TRIPUCKA OR MAIL TO TK TRIPUCKA

    YR OF GRADUATION INSIDE SPORT LOGO ON BACK______________

    YOUR E-MAIL __________________________ 

    YOUR CELL#____________________________

    YOUR ADDRESS____________________________

                                ____________________________

    PRICE $ 310.00    ($320 if 2nd line for position)

    CHECK MADE PAYABLE TO: TK SALES

    MAIL TO: TK TRIPUCKA, 578 MAIN STREET LITTLE FALLS, NJ 0742

    TK CELL 973-493-9727 OR CALL JANICE TRIPUCKA 973-335-3769