Equipment Order Form

Equipment Purchase Order Form
Saving and Emailing instructions are located at the bottom of this form.

Player's Name:	Email Address:	Phone #:

Manager Name:	Email Address:	Phone #:

Team:

Jerseys - $37.50 ea		QTY
Color	Jersey #	Youth L	Adult Sm	Adult Med	Adult Lg	Adult XL	Sub Total

Shorts - $24.00 ea		Youth L	Adult Sm	Adult Med	Adult Lg	Adult XL	Sub Total

Socks - $8.00 ea		Child size 1-4	Small size 4-8	Med size 8-10	Large size 10-13		Sub Total

Jackets - $72.00 ea		Youth L	Adult Sm	Adult Med	Adult Lg	Adult XL	Sub Total

Pants - $44.00 ea		Youth L	Adult Sm	Adult Med	Adult Lg	Adult XL	Sub Total

Bags -		Back Pack	Shoe Bag	Duffle Bag
		$35.00 ea	$10.00 ea	$38.00 ea			Sub Total


Payment Method							Total

Account charges are not allowed for equipment purchases. Payment in cash or check is due upon equipment delivery.

*Orders can be mailed to Seth Keene - 4729 Summerset Dr, Rapid City, SD 57702
or
Email to: rscequipment@rap.midco.net - This Form must accompany all orders

This area for Equipment Manager use only

	Yes / No	Yes / No
Date Ordered	In Stock	Cash	Check #
Highlighted need to be ordered - Circled Highlighted have been ordered - X have been delivered.

Select the Print me button and select the "Microsoft Office Document Image Writer" in the select printer window, then save as an image and attach to an email and send to rscequipment@rap.midco.net