Welcome to the
Wilmington, DE |
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Elks Lodge Information |
ELKS SWIM TEAM ORDER FORMTEAM SUIT – Navy with Team Logo (10 and Under Girls and screened PINK, please note this if you have a daughter in this age group.) Flashback - $37.00 22____ 24 ____ 26 ____ 28 ____ 30 ____ 32 ____ 34 ____ 36 ____ 38 ____ Total $ _______ (Wide Strap)
Sheerback - $38.00 22____ 24 ____ 26 ____ 28 ____ 30 ____ 32 ____ 34 ____ 36 ____ 38____ Total $ _______ (Thin Strap)
Jammer - $25.00 22____ 24 ____ 26 ____ 28 ____ 30 ____ 32 ____ 34 ____ 36 ____ 38_____ Total $ _______ PRACTICE SUITS Women’s Prints COLOR _________ Size_____ 1 x $40.00 or 2 x $70.00 Total $ ________ Women’s Solids COLOR _________ Size_____ 1 x $35.00 or 2 x $60.00 Total $ ________ Men’s Jammer Prints COLOR _________ Size_____ 1 x $25.00 or 2 x $40.00 Total $ ________ Men’s Jammer Solids COLOR _________ Size_____ 1 x $20.00 or 2 x $36.00 Total $ ________ GOGGLES View Shinari _____ Quantity 1 x $14.00 or 2 x $22.00 Total $ ________ View Platina _____ Quantity 1 x $12.00 or 2 x $20.00 Total $ ________ View Zutto _____ Quantity 1 x $12.00 or 2 x $20.00 Total $ ________
TOTAL DUE $ __________ MAKE CHECKS PAYABLE TO BLAZIN, INC. ORDERING DEADLINE JUNE 10th, 2010
SWIMMER(S) NAME: _______________________________ PARENT NAME _____________________________________
DAY PHONE #: _____________________________________ EMAIL ____________________________________________
VISA/MASTERCARD: #___________________________________________ EXP. DATE _______________
NAME ON CARD ___________________________________________________
Blazin, Inc.
Oxford, PA 19363 Phone: 484-888-6944 www.Blazinswim.com |
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Page is Under Construction. Please direct any questions to elksswimclub@nac.net |