Equipment de Sport, USA Incorporated   39301 Badger St., Suite 500,  Palm Desert CA 92211  Tel. 760-772-5544 or 800-745-1667
PURCHASE ORDER TO:
Customer Service:  1-800-745-1667    Fax:  760-772-7715
QTY
STYLE #
COLOR
DESCRIPTION
S
S/M
M
M/L
L
L/XL
XL
O/S
UNIT COST
EXTENSION
In signing and submitting this order I acknowledge that I have the authority to place this order and that I have
read and agree to the terms and conditions of sale on the "Ordering" page in this web site.  Be sure to print a
copy (in "Landscape" configuration) before e-mailing.
TOTAL: