Massachusetts Institute of
 Fire Department Instructors
Clothing Order Form

Product
Circle - Size
 Cost / Each
Quantity
Total
Jacket
S - M - L - XL - XXL
$45.00
_________________ __________________
T-Shirt
S - M - L - XL - XXL
$10.00
_________________ __________________
Golf Shirt
S - M - L - XL - XXL
$20.00
_________________ __________________
1/4 Sweatshirt
S - M - L - XL - XXL
$25.00
_________________ __________________
Hat
XXXXXXXXXXX
$10.00
_________________ __________________
Window Decal
Inside ---- Outside
2 for $3.00
_________________ __________________
Pen w/2 decals
XXXXXXXXXXX
$5.00/set
_________________ __________________
Sub Total
__________________
(No Shipping charge if picked up)    -    Shipping
__________________
Total
__________________

                           Name  ________________________________________________

                      Address  ________________________________________________

               City & State  ________________________________________________

                      Zip Code ________________________________________________

                         Phone  ________________________________________________


Mail completed Form with check or money order made out to:
MIFDI - Clothing
Mail to:
MIFDI Treasurer
c/o Michael McLeieer
PO Box 507
    Merrimac, MA 01860-0510
For Shipping Charges, Call: (978) 864-2015

Product Description
Jacket - 3 Season Lined                  -  color = maroon
1/4 Sweatshirt - zippered w/collar  -  color = grey
Golf Shirt - two tone                        -  color = off white w/blue strips @ collar & cuffs
T-Shirt                                               -  color = grey