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| ORDER REQUEST FORM
Name:____________________________________________________________
Email: __________________________________________
Phone: __________________________________________
Shipping Address: ____________________________________________________
_________________________________________________________________
Where did you hear about us? _________________________________________
ITEMS
| Item # |
Item Name |
Size |
Color |
Qty |
Price Ea |
Total |
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| _____ |
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| _____ |
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| _____ |
____________________ |
____ |
_____ |
_________ |
___________ |
______ |
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ITEM TOTAL |
______ |
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Shipping |
______ |
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AK, HI, PR |
Shipping |
+ 3.00 |
| |
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Express |
2 Day |
+ 8.99 |
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Express |
Overnight |
+ 14.99 |
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SUBTOTAL |
______ |
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AL, NC |
7% Tax |
______ |
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AMT DUE |
______ |
PAYMENT ENCLOSED
____ Check or money order for $ ___________ USD. Please do not staple.
____ Bill my credit card:__________________________ exp date: ____ cvv: ___
Billing address (if different from above)
______________________________________________
I authorize 365 Inc. to process payment as described above for my order. If shipping outside the United States, I agree to pay customs fees as required by my local government.
Signature (required) _____________________________________ Date ________
Check and Credit Card Orders Payable to 365 Inc.: Mail orders to "Mail Order, 431 Us Hwy 70-A East, Hillsborough, NC 27278-9334"
Credit Card Orders Only: Fax order to 1-800-950-1994.
United States Shipping Costs
| Order Total |
Standard Ground |
Two Day Air |
Next Day Afternoon |
| $0-$10 |
$4.99 |
$13.98 |
$19.98 |
| $10-$25 |
$5.99 |
$14.98 |
$20.98 |
| $25-$50 |
$7.99 |
$16.98 |
$22.98 |
| $50-$100 |
$8.99 |
$17.98 |
$23.98 |
| $100-$150 |
$9.99 |
$18.98 |
$24.98 |
| $150-$200 |
$10.99 |
$19.98 |
$25.98 |
| $200-$250 |
$11.99 |
$20.98 |
$26.98 |
| Over $250 |
By Weight |
By Weight |
By Weight |
International Shipping Costs
Please select International Shipping if shipping outside the United States. In addition to the shipping costs estimated below, the recipient is responsible for all customs fees icluding duties, taxes, brokerage fees, and any other fees assessed at the border before delivery.
International Shipping Zones
Zone 1: Canada
Zone 2: Europe, Australia, New Zealand, Japan, Caribbean, and Bermuda
Zone 3: Central America, South America, Hong Kong, Singapore, Taiwan, and all other countries
|
Zone 1 |
Zone 2 |
Zone 3 |
| Order Total |
Canada |
Europe & Pacific |
Asia & All Others |
| $0-$150 |
$20.00 |
$35.00 |
$45.00 |
| $150-$300 |
$40.00 |
$55.00 |
$55.00 |
| $300-$450 |
$60.00 |
$75.00 |
$75.00 |
| $450-$600 |
$80.00 |
$95.00 |
$85.00 |
| $600-$750 |
$100.00 |
$125.00 |
$115.00 |
| $750-$1000 |
$120.00 |
$150.00 |
$125.00 |
| Over $1000 |
By Weight |
By Weight |
By Weight |
Copyright © 2006 [365 Incorporated]. All rights reserved.
Effective: September 1, 2006
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| WHY SHOP WITH US? |
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At US Youth Soccer we provide a fun, safe and healthy game for ALL KIDS...big kids, little kids, tall kids, short kids, young kids, older kids...kids who want to play for one season, kids who want to play for twenty seasons, kids who play strictly for fun, and kids who want to compete at the highest level possible. US Youth Soccer is the largest youth sports organization in the nation with over 600,000 volunteers and administrators, and over 300,000 dedicated coaches, most of who also are volunteers. US Youth Soccer registers over 3,000,000 youth players between the ages of five and nineteen. By shopping at US Youth Soccer Shop, you'll not only score great soccer gear, but also support our organization and our programs to help grow soccer in the United States. Visit www.USYouthSoccer.org for more.
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