Club Information Form

Club: Phone #:

Shipping Address

Street Address: Suite / Apt: City: Province / State: Postal / Zip Code: Country:

Contact Information

First Name: Last Name: Phone #: Cell #: Email:

Alternate Contact Person

First Name: Last Name: Phone #: Cell #: Email #:

Suit Design (suit name as indicated on the website or new design)

Interclub: Precomp: Provincial: National:

Indicate Long Sleeve / Sleeveless

Interclub: Long Sleeve Sleeveless Precomp: Long Sleeve Sleeveless Provincial: Long Sleeve Sleeveless National: Long Sleeve Sleeveless

Fabrics & Colours (example Navy Royal Mystique, Silver Mystique, Turquoise Mystique Appliques)

Interclub: Precomp: Provincial: National:

Rhinestone Design (Basic / Elaborate)

Interclub: No Rhinestones Basic Elaborate Precomp: No Rhinestones Basic Elaborate Provincial: No Rhinestones Basic Elaborate National: No Rhinestones Basic Elaborate

Cut (High / Normal)

Interclub: Normal High Precomp: Normal High Provincial: Normal High National: Normal High

Sizing (Sleek / Growth)

Interclub: Growth Sleek Precomp: Growth Sleek Provincial: Growth Sleek National: Growth Sleek

Competition Date:

Interclub: Precomp: Provincial: National:

Special Instructions

After you submit your order, you will be contacted via phone to arrange Payment.