Montana Age Group Zone Team Western Zone Championships 2017 Order Form and payment DUE JUNE 8th, 2017

Athlete:______Last Name First Name e-mail (write legibly) phone

Montana will provide the following uniform: • 2 Team Latex Swim – Pink and Black with Team Logo • 2 Team T-shirts – White and Pink • 2 Pairs of Team Shorts with Team Logo – Black • 1 Teamster Backpack - Black (option to have the Zone Team Logo and name embroidered on bag for a fee – at bottom of p. 2) • 1 Western (choose from white or natural

To ensure availability, uniform orders must be postmarked by June 30, 2017 and must include all payment. No refunds can be given after order is placed. Late qualifiers will be handled on a case-by-case basis. will be delivered at LC State in Bozeman on July 28 th – 30 th , 2017.

  Girls black Shorts Youth Sizes : XS(22”), S(24”), M(26”)

XS _____ S _____ M _____ L______

 Boys Youth Black 7” inseam Mesh Shorts XS(4), S(6-8), M(10-12), L(14-16), XL(18-20)

XS _____ S______M _____ L ____ XL_____

 Men’s Black 9” inseam Shorts Adult sizes S(11- 30-32”), M(12- 32-34”)), L(13- 35-38”)

S____ M _____ L ____

 T – Shirts: YXS, YS, YM, YL, AS, AM, AL, AXL Size: ______

 (circle color preference) white or natural

*Extra clothing and bag personalization can be purchased for a fee on form below. Questions? Please contact Toni Popp [email protected] 406 314 0553 Please return forms & payment to Toni at the following address: Toni Popp, 250 Scenic Ridge Road, Kalispell, MT 59901

Checks Payable to Montana Swimming Extra Team Montana Clothing Form - Western Zone Championships 2017 Athlete Name:______Last First Team Name e-mail Phone

Extra team uniform caps, shorts, t-shirts and cowboy are available for purchase. If you want to avoid doing laundry, an extra team shirt of each color is nice to have. Buy extras for your family cheer section or trade with athletes from other teams. Back this year is the Black Speedo Jacket , the price includes embroidered logo and name. Both Men’s and Women’s Sonic Jackets are limited so please order as soon as possible if you are interested in purchasing one. You can also have your Speedo Swim Backpack embroidered with the zone logo and name. Please write name clearly exactly as you wish it to be embroidered. Payment is due at the time you place your order. No refunds can be made once orders are placed. Orders must be postmarked by June 30, 2017 to ensure availability & delivery at LC State in Bozeman. Please indicate below the number of each size you desire:

T-shirt – White YM_____ YL_____S_____ M _____ L ____ XL_____ XXL _____ (XXL add $2.00)

Number white T-shirts: ______@ $14 each = ______# of shirts total cost T-shirt – Pink YM____YL _____ S_____ M _____ L ____ XL_____ XXL _____ (XXL add $2.00) Number of Pink T-shirts: ______@ $14 each = ______# of shirts total cost Girls black Short- 6" inseam XS (22”) _____ S(24”) _____ M(26”) _____ Number of black 6” Shorts: ______@ $15 each = ______

Boys (Youth) 7” inseam black Mesh Shorts Youth Sizes : XS(4), S(6-8), M(10-12), L(14-16), XL(18-20) XS _____ S _____ M _____ L _____ XL _____

Number of black 7” Shorts: ______@ $14 each = ______# of shorts total cost

Men’s 9” inseam Mesh Shorts Adult Sizes - S(11- 30-32”)_____, M(12- 32-34”)_____, L(13- 35-38”)______

Number Men’s black Shorts: ______@ $16 each = ______# of shorts total cost # of shorts total cost Ladies Speedo Jacket Black XS _____ S _____ M _____ L _____ XL _____

Imprint Name ______Speedo Ladies Jacket ______@ $60 each = ______(First or Last Name exactly as wish to be embroidered) # jackets total cost

Men’s Speedo Jacket Black S _____ M _____ L _____ XL _____

Imprint Name ______Speedo Men’s Jacket ______@ $60 each ______(First or Last Name exactly as wish to be embroidered) # jackets total cost

Latex Swim Black – ______@ $4.50 each = ______# black caps total cost

Latex Swim Cap Pink ______@ $4.50 each = ______# pink caps total cost

Cowboy Hat (circle color preference white or natural) ______@ $12 each = ______# hats total cost Speedo Backpack Logo & Name Personalization Backpack Embroidery ______@ $20 = ______(First & Last Name exactly as you wish it to be embroidered on bag) total cost

Grand Total All Items Included $ ______