cysa logo  
     
   
   
     
   
     
   
   
     
     
     

MERCHANDISE ORDER FORM
 
ORDER BY TEAM INFORMATION
Order Date: Team Name:
Name : Team # :
Phone # : Manager Name:
Email : Coach's Name :
 

ITEM

COLOR SIZE QUANTITY

UNIT PRICE

TOTAL DUE

I hereby certify that the above Information is true and correct, by clicking submit I give my consent to process this order. I understand my order will not be processed until payment is received by UC Premier. All payments must be made by credit card.

Name of Person Submitting Order:

After clicking Submit you will receive an email confirmation with your complete order. Please print a copy of this email for your records. For information on your order or payment questions please direct them to Vince Prasad via email at equipment@ucpremier.org or call (510) 860-3803. Please allow two weeks for merchandise arrival.

NOTE: Clicking Submit more than once will create a duplicate order. Only click Submit when you have fully completed and reviewed your order.

 
 

© Copyright UC Premier Soccer. All rights reserved.       P.O. Box 546 Union City, CA 94587
   


CNFdesigns