Combat Challenge Racing Gear Order Form

Combat Challenge Racing Gear Order Form Available for purchase January 31, 2011 – September 2, 2011

Bill To: Ship To:

Phone Number: Combat Challenge 01.70.000.000.709.87625 Date of Competition: Customer #4632100 /PSGQ6447

Terms Cost / Package Shipment Ship Via Check Money Order $790.00 (bi-swing coat, pant, suspender) Approx. Fed-Ex PO#: (payable in net 30 days) $900.00 (bi-swing coat, pant suspender, helmet) 65-70 Ground days after Credit Card type: Select one $114.00 (helmet) order is CC #: Exp: received

Janesville® Combat Challenge Garment Description Outer Shell Material: 7.0 oz/yd2 Fusion™ Liner: (K7) 3.5 oz. Glide™ face cloth quilted to 2.3 oz. E- Color (select one): Black Brass 89™ Dri and 1.5 oz. AraFlo® Dri. 5.0 oz CROSSTECH®. Nomex® IIIA woven pajama Outer Shell Material 7.0 oz/yd2 ArmorTM Natural Color check substrate laminated to a PTFE Only membrane. Trim color (select one) Red/Orange Lime/Yellow Lettering included in price of package (on yoke only!) Janesville® V-Force® Bi-Swing Coat – 32” Length Janesville® V-Force® Pant (Choice of two styles)  V-Fit™ garment design with Fast-forward tailoring  V-Fit™ garment design with contoured legs and knees  DRD  Contoured internal waist band  Raglan sleeve design  V-Notch knee reinforced w/self fabric with Lite ‘n Dri™ padding  V-Notch elbow with self-fabric reinforcement  Self Fabric Cuffs  Self Fabric Shoulders and Cuffs  3” Ventilated Triple Trim  Ever-Dry™ Reach System with wrist shield and extended cuff Choice of styles: (select one)  3” Contoured collar with contoured throat tab High-back pant style with V-Back™ Suspenders  Thermal yoke reinforcement OR  Streamlined stormflap with hook & loop/zipper closure Belted low-rise style with suspenders (see below for lengths)  Vis-a-V™ Trim Pattern with Ventilated Triple Trim

Pocket Options: Coat Patch Pockets $14.00 Pant Patch Pockets $14.00 Baton Pocket $7.00 Combat Challenge Racing Gear Order Form Available for purchase January 31, 2011 – September 2, 2011

Legacy 5 Helmet – LFH3910E (4” Faceshield, Plastic Thumbwheel Adjustments) Qty:___ Red Qty:___ Yellow Qty:___ Black Qty:___ Orange Qty:___ White

Suspenders Low Rise Belted Pant: Qty:___ SR848M (42” Long) Qty:___ SR842M (42” Regular) Qty:___ SR836M (36” Short) High Back Pant: Qty:___ SR845 (45” Long) Qty:___ SR840 (40” Regular) Qty:___ SR836 (36” Short)

Lettering for top back of coat Chest Sleeve Waist Inseam  For (INCLUDED IN PRICE) Size Length Size (XS, S, Female Hip (S, R, L) R, L, XL) Pattern (Female)

Measuring of garments completed by:

If you have any questions, please contact Jennifer Horn at [email protected] or 937-415-2854. Please fax orders to 937-913-5601. Thank you!