Windy City Miata Club Jacket Order Form

Car Headlight Style -Old (pop up) or New (integrated) headlights (circle one)

Style:	Size		Cost
Black Satin (Quilted Inside) (West Ark U2460 Quilted Lining) (Available S-5XL)	______		$ 75.50
Cotton Twill -Navy with Jade trim (Hilton Delta D1 Navy/Jade) (Available S-5XL)	______		$ 79.00
Black/Red Denim (International Denim 22-602 with liner	______	with liner	$114.50
(602 without liner)	______	without liner	$ 92.50
(Available S-2XL)
(All jackets 2XL and larger may have additional costs – ask Linda)			______
Additions: Name on front of jacket	_________________ Please Print Clearly		included
Back Logo: Color of Car & Miata script	___________________
Color of Circle & Building Outline (Usually White – specify other color)	___________________
		Pre Tax Total	__________
		Tax @ 7.25%	____________
		Shipping	$_5.00__
		Total Order	____________

PRINT ALL INFORMATION CLEARLY! Use separate order form for each jacket.

Name: ________________________________________________________________

Address: ________________________________________________________________

City: _____________________________ State: _________ Zip: ________________

Phone #: _______________________________

Make check payable to ----- Artistic and mail with order form to:

Linda Anderson, 215 S. 2^nd Avenue Libertyville, IL 60048