Team, Club or Event Name
*
Number of Team/Club Members or Event Participants
*
Is this a new or existing Team, Club or Event?
*
New Team/Club/Event
Existing Team/Club/Event
What is your team or club's primary sport/activity? (Select all that apply)
*
Road Cycling
Cyclocross
Mountain Biking
Triathlon
Other
Who is your current custom clothing provider?
*
Are you satisfied with your current custom clothing provider?
*
Yes
No
Sometimes
Have you previously ordered custom clothing from Pactimo?
*
Yes
No
Ideal clothing delivery date:
-
Month
-
Day
Year
Here's an important question!
Tell Marco about any special needs for your team, club or event.
*
Please provide some information so Marco knows how to contact you.
Your Name
*
First Name
Last Name
Country
*
Please Select
United States
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czech Republic
Estonia
Denmark
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Poland
Portugal
Romania
Slovak Republic
Slovenia
Spain
Sweden
United Kingdom
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City/Town
*
Your E-mail Address
*
Phone Number
*
-
Area Code
Phone Number
Telephone Number
*
How did you hear about this offer?
*
Please Select
Pactimo Email Newsletter
Web Banner Ad
Google Ad
Print Ad- Bicycling
Print Ad - Bikes, Etc
Print Ad - Cyclist
Print Ad - Peloton
Print Ad - SoCal Bicyclist
Print Ad - Velonews
Radio Ad
TV Ad
Facebook
Twitter
Other
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*
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