PIO 2012 Lax Pinnie Order Form

PIO 2012 Lax Pinnie Order Form

Name: ____________________________________

Last name/nickname you want on the back of the jersey
(e.g., "Frankel", "Africa"):
______________________________

Count off number from FIRST SESSION (not Israel): ____

Size (circle): YS YM YL S M L XL








*The cost of the Pinnie is $25.

*Enclose this order form in an envelope with a $25 check made out to "Ilene Frankel" OR $25 in cash.

*Mail the envelope to the address listed below OR hand it to Bethanie Tabachnik over the weekend of
8/10-8/12.

Alec Frankel
19110 Shelburne Road
Shaker Heights, OH, 44118

---