UNIFORMS

Fields marked with an * are required.

Team or School Name

Full Name of Coach

Name

First Name

Last Name

List the name of the individual that will be making payment for the uniforms.

Address

Street Address

City

Country

List the address of the individual that will be making payment for the uniforms.

Phone

List the number of the individual that will be making payment for the uniforms.

List the email of the individual that will be making payment for the uniforms.

Attach an image

Attach an image of your current uniform or of a uniform that you like.

Payment

Amount

Signature

The signature of the individual that will be making payment for the uniforms.

Full Name

Sign

Discount

Subtotal

Tax

Total USD