REORDER FORM
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Please be sure to KEEP YOUR MODEL SAFE. ALL REORDERS 50% OFF WITH MODEL.
Please complete the following:
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| Name Of Athlete: |
______________________________ |
| Home Address: |
______________________________ |
| City, State & Zip: |
______________________________ |
| Phone Number: |
______________________________ |
| Sport Playing: |
______________________________ |
| Date Of Last Order Placed: |
______________________________ |
PRICING INFORMATION
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Prices in red reflect the re-order cost for orders that will be placed with a model previously made by SGI.
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Gladiator Junior
- Solid: $35.00 [$17.50]**
- Bi-Color: $40.00 [$20.00]**
- Tri-Color: $42.00 [$21.00]**
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Gladiator Pro
- Solid: $50.00 [$25.00]**
- Bi-Color: $55.00 [$27.50]**
- Tri-Color: $57.00 [$28.50]**
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Gladiator Elite
- Solid: $75.00 [$37.50]**
- Bi-Color: $80.00 [$40.00]**
- Tri-Color: $82.00 [$41.00]**
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| **Please be sure to add $ 6.00 shipping and handling to your order |
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GLADIATOR ORDER INFORMATION
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| Gladiator Style Selection: |
______________________________ |
| Gladiator Color Selection: |
______________________________ |
CUSTOMIZATION INFORMATION
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| When reordering a Gladiator you have the option of Customizing your mouthguard with your name/number and team logo for free. If interested please complete the following section. |
| Player's Identification on the SIDE of the guard (8 characters or less): |
______________________________ |
| Is a Logo or Image Being Used in the FRONT of the guard? |
___________ Yes ___________ No |
| If you want a logo to be put on your mouthguard please include one of the following with this order form:A CD or floppy disk with the logo saved as a .TIF, .JPG, .EPS or a Microsoft Word file. Optionally, you can provide Sport Guard International with a web site address below where we can obtain the logo: |
| Web Address: |
http://www.______________________________
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(If supplying SGI with a web site, a copy of the image must also be include with your model)
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PAYMENT INFORMATION
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Customers who select to pay with a Visa, Discover, or Mastercard, please complete the following section.
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| Name On Credit Card: |
______________________________ |
| Credit Card #: |
______________________________ |
| Expiration Date: |
______________________________ |
| 3 Digit Security #: |
______________________________ |
| Credit Card's Billing Address: |
______________________________ |
| Sub total for guard(s) ____________ |
PLUS $6.00 Total $ ____________ |
ORDERING YOUR GLADIATOR
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Fill out the re-order form and send with credit card payment information completed or a check made payable to Sport Guard International, with your MODEL (safely wrapped for mailing, SGI is not responsible for models damaged in shipping) to:
Sport Guard International
3451 West Allegheny Avenue
Philadelphia, PA 19132
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