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BLANK ELEMENT MP SWIM AND CAP ORDER FORM Please Return By: Monday October 6th to the Parent Volunteer at Lunch or to the swim team box in the front office. A parent volunteer will have samples suits for you to try for size on Oct. 6th during lunch. SWIM SUITS Female Suit- $ 44.95 Male Jammer- $ 29.95 Visit www.speedousa.com for sizing and more details. SWIM CAPS This year we will have black silicone caps, with an MP and the swimmer’s last name printed on them. The cost is $21.00 for a set of TWO caps. It is not possible to order one cap. All Payments MUST be made in check or Visa, MasterCard. We must receive the payment before your suit or cap will be ordered.All Checks must be made out to: Augusta Swim SupplyWrite Swimmers Name in Memo Section of check and include Drivers License # and your phone number in the top right hand corner. Please paper clip to this order form. For Credit Card include all information including expiration date. All Returned checks will have a $25 return fee. “ No exchanges, No refunds” Name: __________________________________________ Grade Level: ____________Student ID#_______________
Home Phone #: __________Work Phone_______________ Suit: (Circle one) Male 20, 22, 24, 26, 28, 30, 32, 34, 36, 38 Female 20, 22, 24, 26, 28, 30, 32, 34, 36, 38 NAME TO BE PRINTED ON CAP: _____________________________ SUIT AMOUNT:________________________________ CAP AMOUNT: ____________x $21.00=____________ TOTAL AMOUNT DUE: __________________________ AMOUNT PAID: _______________________________ CHECK NUMBER: ______________________________ Credit Card __________________________________ Name as Shown on Card ________________________ Exp. Date____________________________________ We must receive the payment before your suit or cap will be ordered. All Checks must be made out to: Augusta Swim Supply Write Swimmers Name in Memo Section of check and include Drivers License # and your phone number in the top right hand corner. Please paper clip to this order form. All Returned checks will have a $25 return fee. “No exchanges, No refunds” | ||
