Hurler Athletic Main Order Form

Hurler Athletic Company Order Form
Instructions:
1. Fill out this form. You'll receive an email notification of your submissions.
2. Put this form in shipping box along with only the shoe(s) that require processing and ship to:
  - Hurler Athletic Company
    2755 SW 49th Corvallis, OR 97333
YOUR INFORMATION
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Accounting Email
example@example.com
Delivery Address*

Street Address

Street Address Line 2

CityState

Zip Code
School / Team
ORDER INFORMATION
Preferred Toe Color
Coverage
Please list specific coverages for multi-shoe orders in the "Special Instructions" box below.
Other Coverage
PROTECTIVE GEAR

Select your quantity.
Pitching Toe - Left ($22)
Pitching Toe - Right ($22)
Style 21 Catcher's Toes - Pair ($32)
Reinforced Injury Protection - Left ($32)
Reinforced Injury Protection - Right ($32)
ORDER TOTALS
Total Quantity
Sub-Total $
Discount Applied $
There is a 10% applied for all orders of 12 shoes or more.
Order Total $
SHIPPING
FedEx Account #
UPS Account #
Shoe Return Date

MonthDayYear
Date
Note: Shoe return date only needed for specific-need dates. There could be extra fees for Express Freight.
Special Delivery Instructions
Upload Pictures of Your Shoes with Descriptions

Cancelof
Payment Method
School or Team Purchase Number
Should be Empty:

Hurler Athletic Company Order Form