Name

____________________________________________________________

Amount Due:

Address

____________________________________________________________

MINUS $5.00 Uniform Discount (if ordering complete uniform)

($5.00)

City/Zip

___________________________________________________________

Total Amount Due:

Phone

____________________________________________________________

Amount Paid:

Coach:

____________________________________________________________

Paid by Check #:

Paid by Cash:

 

Uniform

Stock #

Description

Color

YL

YXL

S

M

L

XL

TOT QTY

EACH

AMOUNT

CC1671

Adidas Uniform Jerseys

Maroon

$30.00

Player Number:

Stock #

Description

Color

YL

YXL

S

M

L

XL

TOT QTY

EACH

AMOUNT

3930

T - Shirts

Ash

$10.00

Player Number:

Stock #

Description

Color

YM

YL

S

M

L

XL

TOT QTY

EACH

AMOUNT

4651

Adidas Shorts

Maroon

$15.00

Stock #

Description

Color

TOT QTY

EACH

AMOUNT

Adidas Socks - Adult

Maroon

$10.00

Adidas Socks - Youth Large

Maroon

$10.00

Adidas Socks - Youth Small

Maroon

$10.00

Spirit Wear

Stock #

Description

Color

S

M

L

XL

2X

3X

TOT QTY

EACH

AMOUNT

76042

Hooded Sweatshirt

Maroon

$25.00

Option

Personalization for Above

Name and/or #

$5.00

Stock #

Description

Color

S

M

L

XL

2X

3X

TOT QTY

EACH

AMOUNT

9921

Team Jacket- Adult Sizes

Maroon

$50.00

Option

Personalization for Above

Name and/or #

$5.00

Stock #

Description

Color

YS

YM

YL

YXL

TOT QTY

EACH

AMOUNT

8921

Team Jacket- Youth Sizes

Maroon

$50.00

YS = 7/8…YM = 10/12...YL = 14/16…YXL= 18/20

Option

Personalization for Above

Name and/or #

$5.00

Stock #

Description

Color

S

M

L

XL

2X

TOT QTY

EACH

AMOUNT

9938

Team Pants - Adult Sizes

Maroon

$35.00

Stock #

Description

Color

YS

YM

YL

YXL

TOT QTY

EACH

AMOUNT

8938

Team Pants - Youth Sizes

Maroon

$35.00

YS = 7/8…YM = 10/12...YL = 14/16…YXL= 18/20

Stock #

Description

Color

TOT QTY

EACH

AMOUNT

5024

Travel Bag

Maroon

$35.00

0014

Sport Pak

Maroon

$15.00

0017

Large Sport Pak

Maroon

$18.00

Option

Personalization for Above

Name and/or #

$5.00

                                            Total Amount Due:

Please make checks payable to Hudson United Soccer Club

If you have questions please contact Deanne Richardson-Howard

at drichardsonhoward@comcast.net or 860-0670