Lady Patriots Uniform - Adult Order Form
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Jersey Number
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Jerseys (Sublimated) Home & Away
$
100.00
Jersey Size
Jersey Size
Small
Medium
Large
X-Large
Goalie
Lady Patriots Shell
$
42.00
Shell Size
Small
Medium
Large
X-Large
Socks (Home)
$
12.50
Socks (Away)
$
12.50
Subtotal
$
0.00
Shipping
$
0.00
Total
$
0.00
Credit Card
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