Series X Sample Request

Series X Sample Request Form

All samples are subject to verification. One sample per season for the head coach only.
Clinic Code
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
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!
YESNO
Ship To
SHIP TO TEXT
Shipping Address {We cannot ship to a PO Box}*
Garment Type*
Garment Type Text
AshBlackHeatherNavy
Garment Size (HS)*
XGrain Hoodie Color Code
Heather
Garment Size (LWH)*
XGS LW Hoodie Color Code
AshBlackHeatherNavy
Garment Size (SS)*
X-Grain Crew Color Code
Black/GraphiteHeather/Black
Garment Size (XGSQ)*
XGS Quarter Zip Hoodie Color Code
BlackHeatherNavy
Garment Size (HLT)*
Hooded LS TShirt Color Code
SIZE
ITEM ID
Silhouette
T-Shirt Template
SILHOUETTE TEXT

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

Cancelof
-OR- Take Photo of Logo
-OR- Describe Custom Logo Here
For Example: Wolf head on school website -OR- SR logo on file from previous order
Yes, I want to personalize my sample.No, I do NOT want to personalize my sample.
Film Back Name & Number*
For Example: 25 MITCHELL - or- COACH SMITH
Yes, I want to personalize my sample.No, I do NOT want to personalize my sample.
Applique Back Number & Name*
Example: SMITH 12 -or- BEARS - or- COACH SMITH (max of 16 characters)
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:

Series X Sample Request Form