NAME:   __________________
E-mail E-mail:  ____________
Rage Team:   _______________ Phone: Phone:  ____________
ADULT APPAREL
T-shirt short sleeve Quantity Colors Sizes Price ea Total
   Silk screened front &   White S M L XL 2XL* 3XL* 15.00[1]  
    back.   Gold S M L XL 2XL* 3XL* 15.00  
    Blue S M L XL 2XL* 3XL* 15.00  
T-shirt long sleeve Quantity Colors Sizes Price ea Total
   Silk screened front &   White S M L XL 2XL* $17.00  
   back.    Blue S M L XL 2XL* $17.00  
Polo Shirts Quantity Colors Sizes Price ea Total
   Embroidery front only   White S M L XL 2XL* 3XL* 4XL* $23.00  
    Blue S M L XL 2XL* 3XL* $23.00  
Denim Button Down Quantity Colors Sizes unisex Price ea Total
Long sleeve ladies   Denim S M L XL   $25.00  
Long sleeve Men   Denim S M L XL 2XL* 3XL* $25.00  
 
Sweatshirts Quantity Colors Sizes Price ea Total
   Hooded Pullover   White S M L XL 2XL* 3XL* $25.00  
      silk screened   Blue S M L XL 2XL* 3XL* $25.00  
Sweatshirts Quantity Colors Sizes Price ea Total
   Hooded Zipper Front   White S M L XL 2XL* 3XL* $27.00  
      silk sreened   Blue S M L XL 2XL* 3XL* $27.00  
Ladies T-shirts short Quantity Colors Sizes Price ea Total
    sleeve  scoop neck   White S M L XL 2XL* $16.00  
Flex Fit Hats Quantity Color One size fits most Price ea Total
    gold   $22.00  
    blue   $22.00  
* 2XL - 4XL add $3.00 Sub Total:  
Additional charges for larger sizes:   Qty _____ X  $3.00 =  
Page 1 sub total  
NAME:   __________________
YOUTH APPAREL
T-shirts short sleeved Quantity Colors Sizes Price ea Total
    silk screened front &   white   S  M   L $13.00  
    back   blue   S  M   L $13.00  
    gold   S  M   L $13.00  
Note:  S(6-8) M(10-12) L(14-16)
T-shirts long sleeved Quantity Colors Sizes Price ea Total
    silk screened front &   White S   M  L $15.00  
    back Note: S (6-8) M(10-12) L(14-16)
Sweatshirts Quantity colors Sizes Price ea Total
   Hooded pullover   blue S(6-8) M(10-12) L(14-16) $23.00  
   silk screened front
   back Sub Total:  
Page 1 sub total  
     Grand Total  
Please circle the size needed and and fill in the quantity to order.
Make checks payable to:  Central Coast Hockey
Please return order form and payment to Carrie Jordan by: Feb. 23rd
Note: Demin, polo shirts and hats will be embroidered.
T-shirts & sweatshirts will be silk screened.
For Office Use only:
   Amount Paid:   Date ordered placed    
   Date:   Date order  received    
   CK#:   Date order delivered    
   Cash:    
           
[1]
Carrie: