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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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