Club,Team or Company Name * Contact name * Phone number * Fax number E-mail address * Shipping address * PO# Deposit Payed Yes No Design Criteria Semi custom design (template) Design from scratch (10 or more only) Customer supplying artwork Design assistance needed If you have selected 'semi custom design' or 'design from scratch' with 'design assistance needed', please fill out the design instructions box below. Design Instructions: Requested Delivery Date * Please check off which items you would like to purchase in the boxes below. If you will be adding names or numbers, please see page 2. if you will not be adding names or numbers, please fill out the style and size chart, Marking the number of each size you would like in the corresponding boxes. Paintball Jersey Raglan Setin Cycling Road Raglan Setin Motocross or Downhill Raglan Setin Pit Crew Shirt Relaxed Style Button Down Glof / Polo style Shirt Short Sleeve Long Sleeve Casual Style Mock Turtle Nect V Neck Zip Neck (Fishing Style) Short Sleeve Long Sleeve Loose Fit Tight Fit Please give the Name , Number and Size of each player in the area below if required. If you are ordering more than 10 items with names ect, you can ether upload a list here or or email one at a later date. Name, Numbers and size upload Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Amount Size SM Med LRG XLRG 2XLRG 3XLRG 4XLRG Name on Card Credit Card Billing Address Card Type If sending money order, please write "sending check" and arrange with customer service: 1-724 539 7500 Credit Card Number exp date I hereby authorize Custom Sports Gear Inc. to charge the above credit card number for my 50% deposit. My signature is also confirming that I have the authority to be applying charges to said credit card. By checking this box I am electrically signing Security Code *