301 S. 16th Ave.  ~  Eldridge, IA 52748 1-888-846-4686  or  (563) 285-4686 Fax: (563) 285-6810 gtsports@netins.net IMPORTANT - (Before you print this form out, you can fill it out online first.) Please make sure to enter a "Quantity" and then use the TAB KEY after you enter the "Unit Price w/o Logo", it will automatically give you the total in the "Total Price" box. (Works in Internet Explorer and newer versions of Netscape only.) When you are finished filling out this form, press the "Total" buttons for your grand total. (This part works in all browsers) Customer Name Address     City  -  State  -  Zip Customer Telephone Number  () - - Office Telephone Number  () - - Payment Terms Date - (MM/DD/YY) / /

Item Number Quantity   Description (Colors-Styles-etc.) more room below to type further info Size  XS    S     M     L    XL  XXL 3XL Unit Price w/o Logo Total Price $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Emb. #1 Left Crest Logo $ $ Emb. #2 Visor Logo $ $

Please make checks payable to: GT SPORTS UNLIMITED   Master Card and Visa accepted. - Type card number here. Master Card Visa   Signature ______________________________________ Expiration Date   / / Delivery To The District Office NO C.O.D. Merchandise - $ 7% Tax $ - $ Deposit -             $ BALANCE - $

Please use this area for further explanation of your "Description (Colors-Styles-etc.)" Be sure to include the "Item Number" with the description.