379 Middlesex Ave. www.chchne.

com
Wilmington, MA 01887 Fax: 978-657-9116

BATES ROWING ORDER FORM

*FORM MUST BE RECEIVED BY 11/27
(NO EXCEPTIONS)* FOR CHRISTMAS DELIVERY
FORMS MAY BE MAILED FAXED OR EMAILED TO CHAMPION’S CHOICE

NAME: _____________________________________ DATE: ______/_______/_______

SHIP TO ADDRESS: _____________________________________ *(PLEASE NOTE UPS WILL NOT SHIP TO A PO BOX)

CITY, STATE, ZIP _____________________________________ info@chchne.com

PHONE: ( ) _____________________________ EMAIL ADDRESS_______________________________

Item

Champion Reverse Weave Heavyweight “hoodie” in maroon

Bates Rowing screen front ___________ ___________

___________ ___________

___________ ___________
$55
PERSONALIZED EMBROIDERY:
___________ ___________

LAST NAME_________________________ CLASS_______

___________ ___________
*CIRCLE HERE FOR PARENT PERSONALIZATION (includes P’ and
athlete’s last name & class year)
Champion Reverse Weave Heavyweight crew neck sweat in maroon
Bates Rowing screen front (same as above) ___________ ___________

PERSONALIZED EMBROIDERY: ___________ ___________ $50

LAST NAME_________________________ CLASS_______

___________ ___________

*CIRCLE HERE FOR PARENT PERSONALIZATION (includes P’ and

athlete’s last name & class year) ___________ ___________

PAYMENT METHOD (CREDIT CARD OR PERSONAL CHECK) UPS GROUND SHIPPING +$10 (UP TO 4)
+$14 (5+ UNITS)
CREDIT CARD (CIRCLE ONE): VISA MASTERCARD DISCOVER

SECURITY CODE____________ (3 DIGITS ON BACK) BILLING ZIP CODE__________

TOTAL $____________
BILLING STREET ADDRESS __________________________________________

CARD # _____________________________________________ EXP DATE ______/________

CHECK # ____________________

PLEASE MAKE CHECKS PAYABLE TO

SIGNATURE _________________________________________________________________
CHAMPION’S CHOICE

Please note there are no returns/exchanges on team orders. Orders MUST be received by due date
.