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Getting Your Order Together Doesn't Have To Drive You Crazy!
Let Our Online Forms Give You A Break.
... TEAM ORDER FORMLEATHER BALLS, LTD.
.... 1.800.652.0123...fax 703.521.9106...email - LBRugby@aol.com
RUGBY CLUB:______________________________
Item/Description ........................ Qty - $/Item - Total
.Jerseys:________________________________|____|______|_______|
..Shorts:________________________________|____|______|_______|
...Socks:________________________________|____|______|_______|
.Jackets:________________________________|____|______|_______|
Kit Bags:________________________________|____|______|_______|
.. OTHER:________________________________|____|______|_______|
...................... CALL FOR SHIP & TAX COSTS: ___________
........................................TOTAL DUE: ___________
..............................DEPOSIT:_______ OWED: __________
(1) ============================================================
PLAYER NAME:____________________________ []PLAYER NUMBER - #_______
[]JERSEY = size:______ []JACKET = size:______ []KIT BAG = size:______
[]SHORTS = size:______ []SOCKS_______ []BOOTS = size:_______
PAYMENT: []CASH []CHECK []CHARGE ------------ TOTAL - $_______
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
NAME ON CARD ________________________________________
SIGNATURE _____________________________EXP DATE _____
(2) ============================================================
PLAYER NAME:____________________________ []PLAYER NUMBER - #_______
[]JERSEY = size:______ []JACKET = size:______ []KIT BAG = size:______
[]SHORTS = size:______ []SOCKS_______ []BOOTS = size:_______
PAYMENT: []CASH []CHECK []CHARGE ------------ TOTAL - $_______
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
NAME ON CARD ________________________________________
SIGNATURE _____________________________EXP DATE _____
(3) ============================================================
PLAYER NAME:____________________________ []PLAYER NUMBER - #_______
[]JERSEY = size:______ []JACKET = size:______ []KIT BAG = size:______
[]SHORTS = size:______ []SOCKS_______ []BOOTS = size:_______
PAYMENT: []CASH []CHECK []CHARGE ------------ TOTAL - $_______
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
NAME ON CARD ________________________________________
SIGNATURE _____________________________EXP DATE _____
(4) ============================================================
PLAYER NAME:____________________________ []PLAYER NUMBER - #_______
[]JERSEY = size:______ []JACKET = size:______ []KIT BAG = size:______
[]SHORTS = size:______ []SOCKS_______ []BOOTS = size:_______
PAYMENT: []CASH []CHECK []CHARGE ------------ TOTAL - $_______
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
NAME ON CARD ________________________________________
SIGNATURE _____________________________EXP DATE _____
(5) ============================================================
PLAYER NAME:____________________________ []PLAYER NUMBER - #_______
[]JERSEY = size:______ []JACKET = size:______ []KIT BAG = size:______
[]SHORTS = size:______ []SOCKS_______ []BOOTS = size:_______
PAYMENT: []CASH []CHECK []CHARGE ------------ TOTAL - $_______
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
NAME ON CARD ________________________________________
SIGNATURE _____________________________EXP DATE _____
============================================================
SHIPPING INFORMATION
o ORDERED BY
Address_______________________________________________
______________________________________________________
City __________________________ State ______ Zip______
Home Phone ...(________) __________________________
W Phone ......(________) __________________________
Fax Line .....(________) __________________________
Email ______________________________________________
Club Name __________________________________________
Club Colors ________________________________________
o PLEASE SEND # ____________ CATALOGUES FOR MY TEAM
SHIP TO (If different from "Ordered By" info)
Address_______________________________________________
______________________________________________________
______________________________________________________
City __________________________ State ______ Zip______
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