HTML Preview Instructor Apparel Order Form page number 1.
Bucks County Community College
Department of Public Safety Training and Certification
1760 South Easton Road
Doylestown, PA 18901
Ph: 215.340.8417
Fax: 215-343-6794
Instructor Apparel Order Form
FOR OFFICIAL USE ONLY:
Last Revised: December 2007
Received on: Verified: Date Mailed:
Name: __________________________________________________________________________________________
Bucks ID Number: ________________________________ or Date of Birth: __________________________________
Current Home Address: ____________________________________________________________________________
City:_______________________________________________ State:_________ Zip Code:______________________
Daytime Phone: (_______)_________-_______________ Evening Phone: (________)__________-______________
Instructor Shirt / Cap orders must be in the form of check or money order, we do NOT accept cash. Please make check
or money order payable to the Bucks County Community College. Instructor Apparel will only be sold to Bucks
County Community College Instructor in good standing.
Qty. Description Price Size Sleeves Sub-Total
Men’s Oxford Shirts – S, M, L, XL, XXL, or XXXL
Be Sure to specify Color, Size and Long Sleeve or Short Sleeve
Black $25.00
Cream $25.00
Dark Green $25.00
Maroon $25.00
Navy Blue $25.00
Red $25.00
Women’s Oxford Shirts – S, M, L, or XL
Be Sure to specify Color, Size and Long Sleeve or Short Sleeve
Black $25.00
Cream $25.00
Dark Green $25.00
Light Blue
$25.00
Maroon $25.00
Navy Blue $25.00
Red $25.00
Instructor T-Shirts – (Men’s Sizes) S, M, L, XL, XXL, or XXXL
Be Sure to specify Size, Short Sleeve Only
Navy Blue $10.00 N / A
Other Available Apparel
Ball Cap – Navy Blue (one sizes fits all) $12.00 N / A N / A
Total – Payable to Bucks County Community College: $
Complete this form and return it to:
Bucks County Community College
Department of Public Safety Training & Certification
Instructor Apparel Order
1760 South Easton Road
Doylestown, PA 18901