Soccer Uniform Order Form



Order Information
Youth Jerseys Color Selection* YXS: Youth Extra Small 21-23� chest YSM: Youth Small 22-24� chest YMD: Youth Meduim 26-28� chest YLG: Youth Large 30-32� chest
YXS YSM YMD YLG Total Quantity Unit Price Total

Adult Jerseys Color Selection* SM: Adult Small 34-36� chest MD: Adult Medium 38-40� chest LG: Adult Large 42-44� chest XLG: Adult Large Extra 46-48� chest
SM MD LG XLG Total Quantity Unit Price Total

Youth Shorts Color Selection* YXS: Youth Extra Small 20-22� waist YSM: Youth Small 22-24� waist YMD: Youth Meduim 24-26� waist YLG: Youth Large 26-28� waist
YXS YSM YMD YLG Total Quantity Unit Price Total

Adult Shorts Color Selection* SM: Adult Small 30-32� waist MD: Adult Medium 32-34� waist LG: Adult Large 36-38� waist XLG: Adult Extra Large 40-42� waist
SM MD LG XLG Total Quantity Unit Price Total

Socks Color Selection* SM: Small 18� MD: Medium 24� LG: Large 30�
SM MD LG Total Quantity Unit Price Total

Comments / Instructions Grand Total

Billing Information
First Name:* Middle Initial: Last Name:*
Address Line 1:* Address Line 2:
City:* State:* Postal Code:* Phone:
Shipping info same as billing info?* Yes No
Shipping Information
First Name:* Middle Initial: Last Name:*
Address Line 1:* Address Line 2:
City:* State:* Postal Code:* Phone:
Payment Information
Card Number:* Expiration Month:* Expiration Year:* Card Brand:*
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