Jefferson Academy - Event Payments
             
Spirit Wear
 
Student's Full Name
New T-Shirts:   $10.00   Quantity:   Item Subtotal:  
$0.00
Crew Sweatshirts:   $12.00   Quantity:   Item Subtotal:  
$0.00
Hoodies:   $18.00   Quantity:   Item Subtotal:  
$0.00
Old Swag:   $5.00   Quantity:   Item Subtotal:  
$0.00
Total:
$0.00
Contact Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Student's Full Name is required
First Name: is required
Last Name: is required
Address: is required
City: is required
State/Province: is required
ZIP/Postal Code: is required
Phone: is required
Email: is required