Contact Name:
Company name:
Club/Team Name:
Phone Number:
Fax Number:
Email Address:
Shipping Address
Please select the style and sizes you requier
Paintball Jersey
Raglan Set In Youth up to xl Adult
S M L XL 2XL 3XL 4XL
Short Sleeve
Raglan Set In Youth up to xl Adult
S M L XL 2XL 3XL 4XL
Cycling Road Jersey
Raglan Set In With Shorts Youth up to xl Adult
S M L XL 2XL 3XL 4XL
Motocross or Downhill Jerseys No Mesh
Raglan Set In Youth up to xl Adult
S M L XL 2XL 3XL 4XL
Pit Crew Shirt
Relaxed Button down Youth up to xl Adult
S M L XL 2XL 3XL 4XL
Wrestling or Workout
Raglan Set In With shorts Youth up to xl Adult
S M L XL 2XL 3XL 4XL
We will ship the requested samples to you as they are available. Prior to the samples leaving our shop, we will require a credit card number and signed authorization. Your card wll be charged the actual cost of shipping. In the event that the samples are not returned within 14 days of your recieving them, your credit card will be charged the value of sent items.
I, hereby authorize Custom Sports Gear Inc.to charge the following credit card. My signature verifies that I have the authority to be applying charges to said credit card.By signing below, I acknowledge that my failure to return the samples in the alotted time will cause a charge to my credit card for the full price of the samples.
Yes
134 Innovative Lane - Latrobe, Pa 15650
Phone 724-539-7500   
Fax 724-539-7700
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Size Sample Request Form

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