<p> Competitive Aquatic Supply Competitive Aquatic Supply 15661 Container Lane Crossroads Shopping Center Huntington Beach, CA 92649 3972 Barranca Pkwy Unit E Tel: (714) 898-2655 (800) 421-5192 Irvine, CA 92606 Fax: (714) 898-4988 Tel: (949) 653-7665 Fax: (949) 653-7660</p><p>AquaZot Swim Club</p><p>Name: ______Phone:______Address: ______Email: ______City/Zip: ______Order Date:______</p><p>Item Qty Size Price Total Nike Team Suits w/ logo Female Fastback Tank 93160/1 (size 22 – 40) ______$45.60 ______Female Lingerie Tank 93155/6 (size 22-40) ______$45.60 ______Male Brief 93166/7 (size 24 – 38) ______$27.95 ______Male Jammer 93450/1 (size 24 – 38) ______$32.80 ______</p><p>Nike Team Warm-Ups w/ lettering & embroidery Rio Warm-up Jacket Youth T9SS0071 ( size S–X L) ______$88.30 ______Rio Warm-up Jacket Adult T9SS0070 (size S – XXL) ______$88.30 ______Name (included in price) ______Rio Warm-up Pant Youth T9SS0073 (size S –XL) ______$33.00 ______Rio Warm-up Pant Adult T9SS0072 (size S – XXL) ______$33.00 ______Name (included in price) ______AZOT Custom T-Shirts w/logo Short Sleeve Grey Youth (S-L) Adult (S-XXL) ______$10.00 ______Long Sleeve Royal Youth (S-L) Adult (S-XXL) ______$12.00 ______</p><p>AZOT Custom Sport Shirts w/logo Adult (S-XXL) Navy or White ______$20.00 ______</p><p>Nike Team Backpack w/ logo Backpack T8SS9050 Royal ______$59.95 ______Name (included in price) ______AZOT Custom Swim Caps Latex ______$ 4.64 ______Silicone ______$13.92 ______</p><p>Subtotal ______Tax 8.75% ______Total ______</p><p>Payment Check# ______Credit Card (Visa - MC - AmEx) ______exp ______</p>