|
DATE_____________ |
|
NAME____________________________________________ |
|
PHONE___________________________________________ |
| |
(Cost) |
|
|
|
JERSEY |
$50.00 |
SIZE___________ |
QUANTITY________ |
|
BIBS |
$52.00 |
SIZE___________ |
QUANTITY________ |
|
SHORTS |
$49.00 |
SIZE___________ |
QUANTITY________ |
|
VEST |
$42.00 |
SIZE___________ |
QUANTITY________ |
|
SKINSUIT |
$81.00 |
SIZE___________ |
QUANTITY________ |
| |
|
|
|
|
UNCONFIRMED UNIFORM OPTIONS |
|
GLOVES |
$20.00 |
SIZE___________ |
QUANTITY________ |
|
ARM WARMERS |
$25.00 |
SIZE___________ |
QUANTITY________ |
|
LONGSLEEVE JERSEY |
$66.00 |
SIZE___________ |
QUANTITY________ |
|
WINDJACKET |
$61.00 |
SIZE___________ |
QUANTITY________ |
| |
|
ORDER TOTAL_____________________ |
|
DEPOSIT AMOUNT__________________ |
|
BALANCE DUE_____________________ |
