Uniform Order Form - Kellenberg Memorial High School

Flynn & O'Hara Uniforms will be at Kellenberg Memorial High School on
Tuesday, January 27, and Wednesday, January 28, 2015
to take orders for the incoming Freshmen class for the 2015-2016 school year
2015
Kellenberg Memorial High School, Uniondale, NY
Student's Last Name:
Student's First Name:
Address:
Apt:
City:
State:
Chest/Bust
Waist
Hips
Sept Grade:
Best phone # to reach you:
Zip Code:
Alternate phone #:
Email Address:
Skirt Length
GIRLS Uniform Requirements for Grade 9
SIZE
QTY
NY480
EXTENSION
Charcoal Grey 2-Kick Pleat Skirt All Sizes $41.50
White Short Sleeve Tall Peter Pan Collar Blouse All Sizes $16.75
White Long Sleeve Tall Peter Pan Collar Blouse All Sizes $18.75
Navy Wool Blend Girls Blazer with Embroidered School Logo All Sizes $144.50
Paisley Pattern Girls Bow Tie $8.75
Black Leather Penny Loafer Child's $53.00 Women's $60.50
Navy Opaque Tights $9.50
BOYS Uniform Requirements for Grade 9
SIZE
QTY
EXTENSION
Charcoal Grey Men's Dress Pants All Sizes $41.50
White Short Sleeve Oxford Shirt
Youth $19.50
Blue Short Sleeve Oxford Shirt
Youth Husky $20.00
Adult $23.50
Youth $19.50
Youth Husky $20.00
Adult $23.50
White Long Sleeve Oxford Shirt Youth $21.00
Youth Husky $22.00
Adult $25.50
Blue Long Sleeve Oxford Shirt Youth $21.00
Youth Husky $22.00
Adult $25.50
Navy Wool Blend Boys Blazer with Embroidered School Logo All Sizes $150.00
Navy, Yellow & White Striped Tie
All Sizes $13.00
Black Leather Penny Loafer Men's $67.50
Black Leather Belt
Black (
) Crew Socks
$4.50/pair
GIRLS and BOYS Uniform Items (optional)
SIZE
QTY
) or Navy (
All Sizes $9.25
EXTENSION
(
Short Sleeve Polo Shirt with Logo $21.25
) Dark Navy
(
) Ash Grey
(
) Maroon
(
) White
(
Long Sleeve Polo Shirt with Logo $23.00
) Dark Navy
(
) Ash Grey
(
) Maroon
(
) White
White Turtleneck
Navy V-Neck Sweater Vest
YM-YXL $18.00 AS-AXXL $20.00
YM-YXL $26.75
AS-AXL $28.50
AXXL $32.75
Sub-Total
We kindly ask for a $100 deposit
or payment in full with a credit card.
Please make checks payable to
Flynn & O'Hara.
Shipping
$9.50
Sales Tax - all items except blazer (4.625%)
Sales Tax - blazer (8.625%)
$12.46 (G) / $12.94 (B)
TOTAL COST
Payment Information
Deposit
Type
TOTAL PAYMENT
Cash
Check
M.O.
Credit Card
AMOUNT DUE
Credit Card #
Exp. Date
Signature
Flynn & O'Hara Uniforms 10905 Dutton Road Philadelphia, PA 19154
Your Flynn & O'Hara Retail Store: 131 Sunnyside Blvd. Suite 104
1-800-441-4122 www.flynnohara.com/register
Plainview, NY 11803
516-221-3006