379 Middlesex Ave. Wilmington, MA 01887
www.chchne.com Fax: 978-657-9116
BATES ROWING ORDER FORM
11/27
*FORM MUST BE RECEIVED BY (NO EXCEPTIONS)* FOR CHRISTMAS DELIVERY FORMS MAY BE MAILED FAXED OR EMAILED TO CHAMPION’S CHOICE NAME:
_____________________________________
DATE: ______/_______/_______
SHIP TO ADDRESS:
_____________________________________ *(PLEASE NOTE UPS WILL NOT SHIP TO A PO BOX)
CITY, STATE, ZIP
_____________________________________
PHONE:
(
[email protected]
) _____________________________ EMAIL ADDRESS_______________________________
Item
Champion Reverse Weave Heavyweight “hoodie” in maroon Bates Rowing screen front
___________
___________
___________
___________
___________
___________
___________
___________
$55
PERSONALIZED EMBROIDERY: LAST NAME_________________________ CLASS_______ ___________
___________
*CIRCLE HERE FOR PARENT PERSONALIZATION (includes P’ and athlete’s last name & class year) Champion Reverse Weave Heavyweight crew neck sweat in maroon Bates Rowing screen front (same as above)
___________
___________
PERSONALIZED EMBROIDERY:
___________
___________
___________
___________
___________
___________
LAST NAME_________________________ CLASS_______ *CIRCLE HERE FOR PARENT PERSONALIZATION (includes P’ and athlete’s last name & class year)
$50
PAYMENT METHOD (CREDIT CARD OR PERSONAL CHECK) UPS GROUND SHIPPING +$10 (UP TO 4) +$14 (5+ UNITS) CREDIT CARD (CIRCLE ONE): VISA MASTERCARD DISCOVER SECURITY CODE____________ (3 DIGITS ON BACK)
BILLING ZIP CODE__________
TOTAL $____________
BILLING STREET ADDRESS __________________________________________
CARD # _____________________________________________
EXP DATE ______/________
SIGNATURE _________________________________________________________________
CHECK # ____________________ PLEASE MAKE CHECKS PAYABLE TO CHAMPION’S CHOICE
Please note there are no returns/exchanges on team orders. Orders MUST be received by due date .