Purchase your Cocopah PE Uniforms with a credit card quickly
and easily here by completing this form.
To simplify orders, please complete this form for only one student at a time.
start
 
Your name: *

 
Your phone number (no dashes please): *

 
Student's first name:

 
Student's Last Name:

 
Student's Grade:




 
Do they do their own laundry?

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You have the option to purchase the following:

You will be lead through all the following options if you starting at individual t-shirts, OR select any of the others items to skip ahead.





 
Individual T-shirt Size:


 
Individual T-shirt quantity:


 
Individual Shorts Sizes:


 
Individual Shorts quantity:


 
Bundle A: 2 t-shirts and 1 pair of shorts
T-shirt sizes:


 
Bundle A: 2 t-shirts and 1 pair of shorts
Short sizes:


 
Bundle A (2 shirts and 1 pair of shorts)
Quantity:


 
Bundle B: 2 t-shirts and 2 pairs of shorts
T-shirt sizes:


 
Bundle B: 2 t-shirts and 2 pairs of shorts
Short sizes:


 
Bundle B (2 shirts and 2 pairs of shorts)
Quantity:


 
P.E. Lock ($5)

     
 
Thank you for your PE Uniform Order, please complete your order by paying  {{var_price}} *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you {{answer_56992204}} for ordering for {{answer_56992437}}!
We will contact you as soon as the orders arrive.
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