Patch Order Form
Name: _________________________ Team Name: _________________________
Address: _________________________ City, State, Zip: _________________________
Phone: _________________________ Email: _________________________
PATCHES $5 each: 
ADTS® _________ Jr All American _________
Most Admired Team _________ Kick Company _________
Gussie Nell Davis Award _________ Judges Award _________
Dr. Irving Dreibrodt _________ Award of Excellence _________
Home Routine Award _________ Best in Class _________
National Champions _________ Best Overall Technique _________
National Competition _________ Best Overall Presentation _________
Texas State Champions _________ Best Overall Precision _________
Academic Champions _________ Best Overall Choreography _________
Division I _________ Div. I Solo _________
Sweepstakes _________ Div. I Ensemble _________
All American Team® _________ Solo Finalist _________
All American® _________ Dance Company _________
AA Honorable Mention _________ En Croix _________
Gussie Nell Davis Dance Classic _________    

# of patches ordered ________  x $5 :

 $_________  

Tax (add 8.25% if in TX):

 + $_________  

Shipping & Handling (add 5%):

 + $_________  

GRAND TOTAL:

 $_________  
Please return this form with your payment to:

ADTS ®
P.O Box 1189
Salado, Texas  76571
 
Questions?  Call us at 800-462-5719 or email us at DanceADTS@aol.com