X22 Series Sample Request

X22 Series Sample Request Form

All samples are subject to verification. One sample per season for the head coach only.
Clinic Code
Customer Type*

HIGH SCHOOLMIDDLE SCHOOLCOLLEGE/UNIVERSITYCLUB TEAM/YOUTH ORGANIZATION
School/Organization Name*
School/Organization City & State*

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP CODE
STATE
Team Mascot*
Your Name*
Sport*
SPORT TEXT
Title*

HEAD COACHASSISTANT COACHATHLETIC DIRECTOROTHER/NOT LISTED
Season*
What season is the sport selected above played in?
SEASON TEXT
EMAIL/SPORT TEXT
Email*
Cell Phone*
Ship To
SHIP TO TEXT
Shipping Address*
Garment Type*
Garment Type Text
Garment Color (22SP)*

Black/GraphiteGraphite/BlackNavy/GraphitePurple/GraphiteRed/BlackRoyal/Black
Garment Size (22SP)*
X22 Short Sleeve Color Code
Garment Color (22LP)*

Black/GraphiteCardinal/GraphiteColumbia/GraphiteForest/GraphiteGraphite/GraphiteMaroon/GraphiteNavy/GraphiteOrange/BlackPurple/GraphiteRed/BlackRoyal/Black
Garment Size (22LP)*
X22 Long Sleeve Color Code
SIZE
ITEM ID
Main Text (X22 Series)*

DESCRIPTION

LEFT CHEST LOGO
School Colors*

BLACKBROWNBURNT ORANGECARDINAL REDCOLUMBIA BLUEDOT YELLOWFOREST GREENGRAPHITEGRAY/CHARCOALHOT PINKKELLY GREENMAROONMICHIGAN GOLDNAVY BLUENEON GREENORANGEPURPLEREDROYAL BLUETEALTEXAS ORANGEVEGASWHITEYELLOW
SCHOOL COLORS
Upload Logo

Cancelof
Take Photo of Logo
-OR- Describe Custom Logo Here
For Example: Wolf head on school website -OR- SR logo on file from previous order
X22 Personalization (if wanted)*

Back Number Only (6" Applique)Back Name & Number (Embroidered)I do NOT want to personalize my sample.
Back Name & Number (Embroidered)*
For Example: MITCHELL 25. -OR- COACH SMITH
Back Number Only (6" Applique)*
For Example: 25
NAME PERSONALIZATION
## PERSONALIZATION
Notes
All samples are subject to verification. One sample per season for the head coach only.

Samples are not shipped out immediately.

Samples are shipped dependent on the season your sport is played.
Sales Rep
Sales Rep Email
Should be Empty:

X22 Series Sample Request Form