BENFICA USA ORDER FORM- APPAREL- PAGE 1
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
BENFICA USA ORDER FORM- APPAREL- PAGE 1
March 1, 2010
FORM MUST BE RECEIVED BY (NO EXCEPTIONS) *FORMS MAY BE MAILED OR FAXED OR EMAILED* ORDERS WILL BE COMPLETE LATE MARCH ORDERS MAY BE SHIPPED FOR DELIVERY, PICKED UP AT OUR OFFICE, OR DELIVERED TO CLUB NAME:
_______________________________________ TEAM _____________DATE: ______/_______/_______
ADDRESS:
_____________________________________ CITY, STATE, ZIP_________________________________
PHONE:
(
) _____________________________
EMAIL __________________@________________
ITEM
Adidas Performance Basic suit- Red Jacket with Black pant with embroidered Benfica USA logo left chest & player # embroidered jacket & pant Add player name ________________________ #______________ Youth Sizes S-XL, Adult Sizes 2XS-4XL (Nylon taffeta lined clima lite material) Adidas Performance polo in silver grey with embroidered Benfica USA logo. Sizes 2XS-6XL (clima lite performance material) Adidas Traversa Goalkeeper Jersey in grey or highlighter green. Sizes- 3 XS2 XL with embroidered Benfica USA logo Add player name ________________________ #_______ Adidas Clima Proof Rain Jacket in black with embroidered Benfica USA logo. Sizes 2XS-3XL. Adidas Copa Edge backpack in red with embroidered Benfica USA logo & player # embroidered Add player name________________________ Adidas Red Santiago Sackpack with embroidered Benfica USA logo & player number Charles River New Englander Rain jacket in red with embroidered Benfica USA logo Adjustable Cap in red with embroidered Benfica USA logo Winter knit cap in red with embroidered Benfica USA logo Champion 12 oz. heavyweight hood in red with embroidered Benfica USA logo and screened BENFICA USA text - ADULT Add player name________________________ & #______ Champion youth hood in red with embroidered Benfica USA logo and screened BENFICA USA text- YOUTH Add player name ________________________& #______ Long Sleeve Cotton T in red with screened BENFICA USA text, specify youth or adult sizes Chill Fleece scarf in red with embroidered Benfica USA logo (58”x 10”) Chill Fleece blanket in red with taffeta lining with embroidered Benfica USA logo (49”x58”) Chill fleece full zip jacket in red with embroidered Benfica USA logo left chest Youth sizes XS-L, Adult sizes S-3XL(polyester pill free fleece)
SIZE
QTY
Jacket: Pant:
TEAM PRICE
$85 +$5 name & #
$41 GREY: GREEN:
$35 +$5 name & #
$100 OSFA
$57 +$5 name
OSFA
$18 $53
OSFA
$23
OSFA
$22
Adult:
$48 +$6 name &#
Youth:
$36 +$6 name &#
$14 OSFA
$15
OSFA
$29 $38
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
PAYMENT METHOD (CREDIT CARD OR PERSONAL CHECK)
TOTAL $ ___________
DELIVERY METHOD: CIRCLE ONE 1-DELIVERY TO CLUB 2- PICK UP AT OUR STORE 3- UPS GROUND SHIPPING TO HOME +$10 *Please note UPS will not deliver to a PO box CREDIT CARD (CIRCLE ONE):
VIS A
MASTERCARD BILLING ZIP CODE
DISCOVE R
__________
SECURITY CODE_________
___ (3 DIGITS ON BACK )
BILLING STREET ADDRESS
__________________________________________
CARD # ___________ __________________________________
EXP DATE ______/________
CHECK # ____________________ PLEASE MAKE CHECKS PAYABLE TO CHAMPION’S CHOICE
SIGNATURE _______ __________________________________________________________
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
CHAMPION SIZE CHART
S M L XL XXL 3XL 4XL CHEST 34- 38- 42- 46WAIST
36 40 44 28- 32- 3630 34 38
48 4042
50-52
54-56
58-60
YS YM YL YXL 5055- 62-64 67-68 51 58 55.573.5100.5- 126.5WEIGHT 59 87 115 137
HEIGHT inches
44-46
48-50
52-54
ADIDAS SIZE CHART
YOUTH
Small 8
Medium 10-12
Large 14-16
X-Large 1820
Chest
26.5"-28"
28" - 30"
32" - 33"
34 - 36"
Waist
23" -24"
24"-25"
26"-28"
29"-30"
Hip
26"-27.5"
28"-30"
32"-34"
34.5"-36"
Height
50"-53"
54"-59"
60"-64"
64"-68"
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
FLEECE SIZE CHART
NOTE: Fleece jacket and most Adidas items run a bit big!
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
[email protected] Fax: 978-657-9116
BENFICA USA ORDER FORM- APPAREL- PAGE 1
March 1, 2010
FORM MUST BE RECEIVED BY (NO EXCEPTIONS) *FORMS MAY BE MAILED OR FAXED OR EMAILED* ORDERS WILL BE COMPLETE LATE MARCH ORDERS MAY BE SHIPPED FOR DELIVERY, PICKED UP AT OUR OFFICE, OR DELIVERED TO CLUB NAME:
_______________________________________ TEAM _____________DATE: ______/_______/_______
ADDRESS:
_____________________________________ CITY, STATE, ZIP_________________________________
PHONE:
(
) _____________________________
EMAIL __________________@________________
ITEM
Adidas Performance Basic suit- Red Jacket with Black pant with embroidered Benfica USA logo left chest & player # embroidered jacket & pant Add player name ________________________ #______________ Youth Sizes S-XL, Adult Sizes 2XS-4XL (Nylon taffeta lined clima lite material) Adidas Performance polo in silver grey with embroidered Benfica USA logo. Sizes 2XS-6XL (clima lite performance material) Adidas Traversa Goalkeeper Jersey in grey or highlighter green. Sizes- 3 XS2 XL with embroidered Benfica USA logo Add player name ________________________ #_______ Adidas Clima Proof Rain Jacket in black with embroidered Benfica USA logo. Sizes 2XS-3XL. Adidas Copa Edge backpack in red with embroidered Benfica USA logo & player # embroidered Add player name________________________ Adidas Red Santiago Sackpack with embroidered Benfica USA logo & player number Charles River New Englander Rain jacket in red with embroidered Benfica USA logo Adjustable Cap in red with embroidered Benfica USA logo Winter knit cap in red with embroidered Benfica USA logo Champion 12 oz. heavyweight hood in red with embroidered Benfica USA logo and screened BENFICA USA text - ADULT Add player name________________________ & #______ Champion youth hood in red with embroidered Benfica USA logo and screened BENFICA USA text- YOUTH Add player name ________________________& #______ Long Sleeve Cotton T in red with screened BENFICA USA text, specify youth or adult sizes Chill Fleece scarf in red with embroidered Benfica USA logo (58”x 10”) Chill Fleece blanket in red with taffeta lining with embroidered Benfica USA logo (49”x58”) Chill fleece full zip jacket in red with embroidered Benfica USA logo left chest Youth sizes XS-L, Adult sizes S-3XL(polyester pill free fleece)
SIZE
QTY
Jacket: Pant:
TEAM PRICE
$85 +$5 name & #
$41 GREY: GREEN:
$35 +$5 name & #
$100 OSFA
$57 +$5 name
OSFA
$18 $53
OSFA
$23
OSFA
$22
Adult:
$48 +$6 name &#
Youth:
$36 +$6 name &#
$14 OSFA
$15
OSFA
$29 $38
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
PAYMENT METHOD (CREDIT CARD OR PERSONAL CHECK)
TOTAL $ ___________
DELIVERY METHOD: CIRCLE ONE 1-DELIVERY TO CLUB 2- PICK UP AT OUR STORE 3- UPS GROUND SHIPPING TO HOME +$10 *Please note UPS will not deliver to a PO box CREDIT CARD (CIRCLE ONE):
VIS A
MASTERCARD BILLING ZIP CODE
DISCOVE R
__________
SECURITY CODE_________
___ (3 DIGITS ON BACK )
BILLING STREET ADDRESS
__________________________________________
CARD # ___________ __________________________________
EXP DATE ______/________
CHECK # ____________________ PLEASE MAKE CHECKS PAYABLE TO CHAMPION’S CHOICE
SIGNATURE _______ __________________________________________________________
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
CHAMPION SIZE CHART
S M L XL XXL 3XL 4XL CHEST 34- 38- 42- 46WAIST
36 40 44 28- 32- 3630 34 38
48 4042
50-52
54-56
58-60
YS YM YL YXL 5055- 62-64 67-68 51 58 55.573.5100.5- 126.5WEIGHT 59 87 115 137
HEIGHT inches
44-46
48-50
52-54
ADIDAS SIZE CHART
YOUTH
Small 8
Medium 10-12
Large 14-16
X-Large 1820
Chest
26.5"-28"
28" - 30"
32" - 33"
34 - 36"
Waist
23" -24"
24"-25"
26"-28"
29"-30"
Hip
26"-27.5"
28"-30"
32"-34"
34.5"-36"
Height
50"-53"
54"-59"
60"-64"
64"-68"
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
379 Middlesex Ave. Wilmington, MA 01887
[email protected] Fax: 978-657-9116
FLEECE SIZE CHART
NOTE: Fleece jacket and most Adidas items run a bit big!
Please note there are no returns on team orders. Orders MUST be received by due date Orders will be delivered directly to the CLUB (unless otherwise specified). Orders must meet minimum quantities to be filled. Please email [email protected] with any questions.
