SESID Merchandise Purchase Form
First Name
Last Name
E-mail
Phone Number
Address
City
State
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Items to purchase:
SESID T-Shirt ($15)
SESID Golf Shirt ($25)
SESID Jacket ($80) w/o name
SESID Jacket ($85) w/name
Irish Dance Socks (small) $8
Irish Dance Socks (large) $10
SESID Dress Bag ($75)
Irish Dance CD's ($18)
SESID Build-A-Bear Kit w/costume ($30)
SESID Doll Costume ($15)
Irish Soft Shoes
Irish Hard Shoes
School Dress or Jumper Deposit (please state amount below)
Amount Paid:
USD
T-Shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Extra-Large
Jacket Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
All items are available for pickup at the studio. If you would like to have any item shipped, please note below. Additional charges of $5-$20 will apply depending on the item being shipped.
Additional Notes
