EAST BRUNSWICK SPECIAL EDUCATION PTA

(SEPTA)

DIVERSITY WEAR ORDER FORM

SEPTA is excited to announce Diversity Wear. Sizes are available in Youth Large though Adult X-Large for $10.00, Adult 2-X for $11.00 and Adult 3-X for $12.00. Orders can be sent to your child’s school PTA or SEPTA mailbox with a check payable to “SEPTA”. Out-of-district families can send their orders to the administration building at East Brunswick Public Schools, Special Education Department, 760 Route 18, East Brunswick, NJ 08816, Attention: Special Education PTA.

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NAME:____________________________________________________________________

PHONE #:__________________________ E-MAIL: ________________________

CHILD’S SCHOOL:_________________________________________________________

HOMEROOM TEACHER:____________________________________________

YOUTH LARGE ___ ADULT EXTRA LARGE ___

ADULT SMALL ___ ADULT 2-X ___

ADULT MEDIUM ___ ADULT 3-X ___

ADULT LARGE ___

TOTAL NO. OF SHIRTS - __________ AMOUNT ENCOLSED - __________

RETURN THIS PORTION WITH YOUR ORDER TO YOUR SCHOOL’S PTA OR SEPTA MAILBOX WITH A CHECK PAYABLE TO SEPTA. Out-of-district families can send their orders to the administration building at East Brunswick Public Schools, Special Education Department, 760 Route 18, East Brunswick, NJ 08816, Attention: Special Education PTA.