Students Name : ………………………………………………..
Home Group: ……………………………………………….…....
WIRREANDA SECONDARY SCHOOL
UNIFORM ORDER FORM
ITEM
SIZE
QUANTITY
Polo shirt – Middle School
Navy or white
PRICE
TOTAL
AMOUNT
25.00
Polo shirt – Senior School
30.00
Windcheater - Middle School
45.00
Windcheater – Senior School
45.00
Skirt – Check
60.00
Dress
60.00
Shorts – Girls
Navy
23.00
Shorts – Cargo Style
Navy or Grey
25.00
Pants – Bootleg Girls - Navy
40.00
Pants – Grey, Cargo Style
33.00
Trackpant – Fleecy
35.00
Trackpant - Micro Fibre
40.00
P.E. Polo Shirt
Navy
35.00
P.E. Sports Shorts
Navy
24.00
PAYMENT TYPE (please circle)
Cash
Card Type: (please circle)
Credit Card
Visa
Card Number:
Expiry Date
/
. Amount $
Name on Card:
Signature:
Mastercard