Mary Poppins T-Shirt Order Form

"*" indicates required fields

Student Name*

First Last

Grade*

Department*

Cast Member

Orchestra Member

Crew Member

Student's uscstudents.org Email*

Enter Email Confirm Email

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Enter Email Confirm Email

Parent/Guardian Phone*

Musical T-Shirt (short-sleeve) *

Price: $20.00

T-Shirt Size

Total

Credit Card

Cardholder Name

Card Details