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2008 - 2009 Swim Season Youth & Provincial 1 Name:

Telephone:

Email:

Name to be embroidered:

Level:

VISA #

Expiry date:

MC #

Expiry date:

Please make cheques payable to: Swim & Sports Required Items

Please circle size required

Quantity

Price

Tax

Per item Per item

Team latex cap Team silicone cap Team lycra brief - youth Team lycra brief - adult Team lycra jammer - youth Team lycra jammer - adult Team lycra superpro - youth Team lycra superpro - adult Team lycra flyback - youth Team lycra flyback - adult Aquablade brief - youth Aquablade brief - adult Aquablade jammer - youth Aquablade jammer - adult Aquablade recordbreaker - youth Aquablade recordbreaker - adult Team T-shirt - youth Team T-shirt - adult Team track jacket - youth Team track jacket - female Team track jacket - male Team parent shirt - female Team parent shirt - male TYR kickboard Jr TYR kickboard Streamline TYR pullbuoy Jr TYR pullbuoy Sr Speedo fins

One size only One size only 22 24 26 28 30 32 34 36 38 22 24 26 28 30 32 34 36 38 20 22 24 26 28 30 32 34 36 38 22 24 26 28 30 32 34 36 38 22 24 26 28 30 32 34 36 22 24 26 28 30 32 34 36 18 20 22 24 26 28 30 32 34 36 38 40 S M L XL S M L XL S M L XS S M L XL XS S M L XL XXL XS S M L XL XS S M L XL XXL One size only One size only One size only One size only XXS XS S M L XL XXL

$6.00 $18.00 $24.50 $26.00 $33.50 $37.25 $42.50 $45.50 $42.50 $45.50 $41.25 $41.25 $67.50 $67.50 $75.00 $75.00 $15.00 $15.00 $69.00 $69.00 $69.00 $26.00 $26.00 $11.70 $18.00 $11.70 $12.60 $36.00

$0.78 $2.34 $1.23 $3.38 $1.68 $4.84 $2.13 $5.92 $2.13 $5.92 $2.06 $5.36 $3.38 $8.78 $3.75 $9.75 $0.75 $1.95 $3.45 $8.89 $8.89 $3.38 $3.38 $1.52 $2.34 $1.52 $1.64 $4.68

Optional Items Team hooded sweatshirt - youth Team hooded sweatshirt - adult Team track pant - youth Team track pant - female adult Team track pant - male adult Team backpack Swim & Sports mesh bag Swim & Sports water bottle

S M L XL S M L XL S M L XS S M L XL XS S M L XL XXL One size only One size only One size only

$35.00 $35.00 $44.00 $44.00 $44.00 $72.00 $10.79 $7.19

$1.75 $4.55 $2.20 $5.72 $5.72 $9.36 $1.40 $0.93

Total

Total

http://csca.org/NYAC/2008-2009-youth-provincial1-equipment-orderform  

http://csca.org/NYAC/2008-2009-youth-provincial1-equipment-orderform.pdf

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