2016/2017 UNIFORM ORDER FORM TEAM/DIVISION:________________________________________ LAST NAME
NUMBER
E-MAIL/PHONE
HOME & AWAY JERSEYS
$130 each
HOME & AWAY SOCKS $18 / PAIR
BLACK ____ GOLD_____
BLACK____ GOLD____
BOTH _____
BOTH _____
YOUTH: YSM-YXL ADULT: SM-3XL GOALIE + $5
BOYS INTERMEDIATE ADULT
JERSEY SIZE _________
SOCKS SIZE __________
CCM WARM UP SUIT ~ ADULT AND YOUTH JACKET: LOGO, NAME & NUMBER AND NUMBER ON PANT
HELMET DECALS
YOUTH JACKET : YS - YXL $60 ADULT JACKET: SM - 2XL $62 WARM UP JACKET SIZE _________
$10
NEW TEAM WORKOUT SET SHIRT $18 SHORTS $22
YOUTH PANT : YS - YXL $40 ADULT PANT: SM - 2XL $42 WARM UP PANT SIZE _________
CUSTOM WOLVES HOCKEY BAG
CUSTOM SHELL $60
SHIRT SIZE: _______
YOUTH: YSM-YXL ADULT: SM-2XL
PLAYER $95
SHORTS SIZE: _______
SHELL SIZE_______
GOALIE $105 **AFTER MAY 31st - $20.00 SHIPPING CHARGES WILL APPLY**
YOUTH: YSM-YL ADULT: SM-2XL
CASH/CHECK
CREDIT CARD
All info must be filled out for processing.
#________________________________________________ EXP DATE _______ SECURITY________
SUB-TOTAL PRICE ______________
NAME ON CARD_________________________________________________________________
6% SALES TAX _________________
BILLING ADDRESS________________________________________________________________
TOTAL PRICE:$ ___________
ZIP _______________ SIGNATURE___________________________________ DATE___________ By signing this document, I understand that all garments ordered are custom and non-returnable.
[email protected] Fax: 954-978-9305