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*
Format: 000-000-0000.
Instagram Handle
Your sales rep would like to follow you on Instagram!
Are you interested in setting up a team store?*

YESNO
Ship To
SHIP TO TEXT
Shipping Address {We cannot ship to a PO Box}*
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)*

Rows 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)*
Example: SMITH 12 -or- BEARS - or- COACH SMITH (max of 16 characters)
Back Number Only (6" Applique)*
For Example: 25
NAME PERSONALIZATION
## PERSONALIZATION
Notes
Rep Notes
REP SAMPLE 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:

Rows	DESCRIPTION
LEFT CHEST LOGO

X22 Series Sample Request Form