TVMHA IN-HOUSE REVERSIBLE JERSEY ORDER PLEASE PRINT CLEARLY
PLAYER’S NAME_____________________________________________________________ PHONE # ________________________EMAIL_______________________________________ Tri-Valley Team ________________ (mini, mite, squirt, peewee, bantam)
JERSEY SIZE (CIRCLE):
YOUTH M YOUTH LG
ADULT SM ADULT M ADULTGOALIE
SOCK SIZE (CIRCLE):
CHILD 20” YOUTH 24”
COST: HOME/AWAY JERSEYS: HOME/AWAY SOCKS:
YOUTH XL
ADULT LG ADULT XL
ADULT 28”
YOUTHGOALIE
ADULT XXL
MENS 30/32” (over 6’ tall) Special order
$70.00 PRICING GOOD THRU 9/12/14 $23.00
$93.00
DISCLAIMER: “I UNDERSTAND THAT THE PLAYER NEEDS TO TRY ON SIZING JERSEY WITH SHOULDER PADS TO ORDER THE CORRECT SIZE. I UNDERSTAND THAT ONCE I PLACE MY ORDER NO CHANGES CAN BE MADE AND I WILL NOT RECEIVE A REFUND”.
SIGNATURE:_______________________________________________________
PAYMENT MUST ACCOMPANY ORDER, AND WON’T BE PROCESSSED WITHOUT IT. ALLOW 5 WEEKS FOR COMPLETION.
PLACE COMPLETED ORDER