Bulk Order Form
This form is designed for colleges, universities, athletic departments, coaches, athletic trainers, and equipment managers placing bulk orthotics orders for team athletes.
Section 1: Organization & Team Information
Organization/ School Name:
Sport
Please Select
Football
Basketball
Baseball
Track & Field
Soccer
Volley Ball
Lacrosse
Other
Occupation
Please Select
Military
Construction
Event Staff
Law Enforcement
Flight Attendant
Food Service Staff
Factory/ Warehouse
Security Personnel
Health Care Proffessional
Division/ League
Please Select
NAIA
Club
NCAA D1
NCAA D2
NCAA D3
High School
Other
Section 2: Primary Contact Information
Contact Name
Title/ Role
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Section 3: Orthotics Selection
Please enter quantities for each size needed per orthotic type. Leave blank or enter “0” if not needed.
ComforThotic
Rows
Quantity
Size
6
7
8
9
10
11
12
13
CoolThotics
Rows
Quantity
Size
6
7
8
9
10
11
12
13
RunThotic
Rows
Quantity
Size
6
7
8
9
10
11
12
13
Carbon Fiber Orthotics
Rows
Quantity
Size
6
7
8
9
10
11
12
13
Flat Feet Orthotics
Rows
Quantity
Size
6
7
8
9
10
11
12
13
Section 4: Order Notes
Ex: Injury considerations, position specific use, cleats vs trainers etc.
Section 5: Terms & Acknowledgment
I acknowledge that bulk orders are custom fulfilled and subject to Athlete Everyday’s production and shipping timelines.
Signature
Upon completion of your Bulk Order Request, A member of the Athlete Everyday team will contact you within 1-2 business days to confirm pricing and fulfillment details.
Continue
Continue
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