5/23/2022

2022/23 HEAD RACE REBELS | SILVER FORM

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Athlete:
Card: Athletes must be full-time racers with a
Athlete Card current USSS or F.I.S. license.
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Club: Exp. Date: CCV#: Nothing ordered on this form will be

shipped prior to pre-authorization
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Coach
Email^: A limited number of sponsorships are
available and are based upon published
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E
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INITIAL
S:
S:
ADULT RACE SKIS RADIUS LENGTH (cm) MSRP Your Price Item # Size QTY Total
DH 218 Race Plate 50m @ 218cm 218 $1,075 $750 318002 218
DH 215 Race Plate 50m @ 215cm 215 $1,075 $750 318012 215
DH 210 Race Plate 50m @ 210cm 210 $1,075 $750 318022 210
SGM 213 Race Plate 45m @ 213cm 213 $1,075 $750 318032 213
SGL 210 Race Plate 42.5m @ 210cm 210 $1,075 $750 318112 210
SGM 207 Race Plate M 45.5m @ 207cm 207 $1,075 $750 318052 207
SGL 207 Race Plate W 42m @ 207cm 207 $1,075 $750 318042 207
SGL 202 Race Plate 40.5m @ 202cm 202 $1,075 $750 318062 202
WCR e-GS Rebel FIS SW RP WCR 14 30m @ 193cm 183, 188, 193 $1,025 $700 313002
WCR e-GS Rebel SW RP WCR 14 wh/bk 25m @ 181cm 176, 181, 186, 188 $1,000 $670 313042
WCR e-GS Rebel SW RP WCR T wh/bk 25m @ 181cm 176, 181 $875 $590 313052
WCR e-SL Rebel FIS SW RP WCR 14 wh/bk 12.3m @ 165cm 156, 158, 165, 168 $1,025 $700 313082
WCR e-SL Rebel SW RP WCR 14 wh/bk 11.9m @ 151cm 151 $1,025 $700 313022 151
JUNIOR RACE SKIS RADIUS LENGTH (cm) MSRP Your Price Item # Size QTY Total
SG 200 RP WCR 14 36m @ 200cm 200 $950 $610 318072 200
SG 195 RP WCR 14 33m @ 195cm 195 $950 $610 318082 195
SG 185 RP WCR 14 30m @ 185cm 185 $950 $610 318092 185
SG 175 RP WCR 14 27m @ 175cm 175 $950 $610 318102 175
WCR e.GS Rebel Team SW RP WCR T wh/nyw 18.5m @ 166cm 124, 131, 138, 145, 152, 159, 166, 173 $700 $350 314012
WCR e.SL Rebel Team SW RP WCR T wh/nyw 11m @ 144cm 120, 126, 132, 138, 144, 150, 156 $700 $350 314032

JUNIOR MULTI-EVENT SKIS RADIUS LENGTH (cm) MSRP Your Price Item # Size QTY Total
WC e.Race Team SW bk/nyw 10.8m @ 140cm 100, 110, 120, 130, 140, 150, 160 $450 $220 314132
WC e.Race Team SW JRS bk/nyw w/JRS 4.5 GW CA BR.80[I]s.wh/10.8m @ 140cm 100, 110, 120, 130, 140, 150, 160 $600 $339 31414203
WC e.Race Team SW JRS bk/nyw w/JRS 7.5 GW CA BR.78[H]s.wh10.8m @ 140cm 100, 110, 120, 130, 140, 150, 160 $625 $359 31414201

RACE BINDINGS DIN Recommended Ski Model(s) MSRP Your Price Item # -- QTY Total
FREEFLEX ST 20X RD BR.85 [A]m.bk 10.5 - 20 FIS Speed Skis (DH and SG) - Please note "DIN Range" $600 $309 100820 --
FREEFLEX ST 16X RD BR.85[A]m.bk 10.5 - 16 DH, SG, GS, & SL skis (FIS and U16) - Please note "DIN Range" $600 $299 100822 --
FREEFLEX ST 14X BR.85[A]m.bk 7 - 14 SG, GS, & SL skis (U14, U16, and WOMEN'S FIS) $550 $309 100889 --
FREEFLEX ST 16 BR.85[A]m.bk 5 - 16 SG, GS, & SL skis (U16 and FIS) - Please note "DIN Range" $450 $219 100825 --
FREEFLEX ST 14 BR.85[A]m.bk 4 - 14 U16 and U14 (GS 173-186cm) (SL 150-156cm) $400 $209 100826 --
FREEFLEX 11 RACE BR.85[A]m.bk 3 - 11 U14 (GS 152-166 cm) (SL 144-150 cm) $300 $139 100852 --
FREEFLEX 14 GW BR.85[D]m.bk/fla.yw 4 - 14 U16 and U14 (GS 173-186cm) (SL 150-156cm) $375 $189 100850 --
FREEFLEX 11 GW BR.85[D]m.bk/fla.yw 3 - 11 U14 (GS 152-166 cm) (SL 144-150 cm) $250 $119 100851 --
EVO 9 GW CA BR.85[D]s.bk/fla.yw 2.5 - 9 85, 95, 110, 130, 150 $200 $89 100872 --
SX 7.5 GW CA BR.78[J]s.wh/bk 2 - 7.5 78, 90, 100, 115 $150 $79 114488 --
SX 4.5 GW CA BR.80[K]s.wh/bk .75 - 4.5 80 $125 $59 114492 --
BINDING LIFTER KITS (w/ screws) Notes MSRP Your Price Item # -- QTY Total
Lifter set 1/2mm (heel/toe) (1 Set) - new *Rec. for FIS/Adult GS Skis (193) - check stand height for compliance $75 $29 163135 --
Lifter set 4/5mm (heel/toe) (1 Set) - new *Rec. for FIS/Adult SL Skis (165, 168) - check stand height for compliance $75 $29 163136 --
Lifter set 2/3mm (heel/toe) (1 Set) *Rec. for FIS/Adult GS Skis (181, 186, 188) - check stand height for compliance $75 $29 163075 --
Lifter set 3/5mm (heel/toe) (1 Set) *Rec. for 152-173 GS and 138-150 SL - check stand height for compliance $75 $29 162933 --
Lifter set 4/6mm (heel/toe) (1 Set) *Rec. for FIS SL Skis (156, 158) - check stand height for compliance $75 $29 162934 --
Lifter set 5/8mm (heel/toe) (1 Set) *Rec. for FIS SL Skis (156, 158) - check stand height for compliance $75 $29 163076 --
RDX PRO base plate set 3mm(1 Set) *FF ST 20x, 16x, 14x, 16, 14, 11R - check stand height for compliance $75 $29 162905 --
Toe base plate set FF PRO 4mm(1 Set) - ne *For Freeflex 14 and Freeflex 11 - check stand height for compliance $75 $29 163077 --
RDX PRO base plate set 5mm(1 Set) *FF ST 20x, 16x, 14x, 16, 14, 11R - check stand height for compliance $75 $29 162906 --
ADULT RAPTOR RACE BOOTS Boot Last | Flex Boot Sizes MSRP Your Price Item # Size QTY Total
RAPTOR WCR 1 WHITE 93mm | 160/170 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5 $1,000 $569 600009
RAPTOR WCR 2 WHITE 93mm | 150/160 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5 $1,000 $569 600002
RAPTOR WCR 3 WHITE 93mm | 140/150 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5 $1,000 $569 600005
RAPTOR WCR 4 WHITE 93mm | 120/130 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5 $1,000 $569 600007
RAPTOR WCR 5 SC WHITE 93mm | 100/110 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $950 $519 600505
RAPTOR WCR 6 SC WHITE 93mm | 90/100 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $825 $439 601005
RAPTOR WCR 140S WHITE 96mm | 140/150 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5, 29.5, 30.5 $975 $459 601010
RAPTOR WCR 120 WHITE 96mm | 120/130 22.5, 23.5, 24.5, 25.5, 26.5, 27.5, 28.5, 29.5, 30.5 $825 $369 601015
RAPTOR WCR 115 W GREY 96mm | 115/125 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $825 $369 601021
RAPTOR WCR 95 W ANTHRACITE 96mm | 95/105 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $725 $319 601025

JUNIOR RAPTOR RACE BOOTS Boot Last | Flex Boot Sizes MSRP Your Price Item # Size QTY Total
RAPTOR WCR 90 WHITE 96mm | 90/100 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $625 $259 601510
RAPTOR WCR 70 WHITE 96mm | 70/80 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $550 $219 601520
RAPTOR 65 WHITE JR. RACEmm | 55/65 20.0, 21.0, 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $350 $139 600541
RAPTOR 60 WHITE JR. RACEmm | 60 20.0, 21.0, 22.5, 23.5, 24.5, 25.5, 26.5, 27.5 $275 $109 600570
RAPTOR 40 WHITE JR. RACEmm | 40 18.5, 19.5, 20.5, 21.5, 22.5, 23.5 $225 $89 600580

RACE BOOT PARTS Notes MSRP Your Price Item # Grid QTY Total
3mm Lifter Set for WCR Boots *3mm lifter set for Raptor WCR size 22.5 (w/screws) $50 $19 60121988 463301
3mm Lifter Set for WCR Boots *3mm lifter set for Raptor WCR size 23.5+ (w/screws) $50 $19 60121988 463302
5mm Lifter Set for WCR Boots *5mm lifter set for Raptor WCR size 22.5 (w/screws) $50 $19 60121989 463301
5mm Lifter Set for WCR Boots *5mm lifter set for Raptor WCR size 23.5+ (w/screws) $50 $19 60121989 463302
7mm Lifter Set for WCR Boots *7mm lifter set for Raptor WCR size 22.5 (w/screws) $50 $19 60121990 463301
7mm Lifter Set for WCR Boots *7mm lifter set for Raptor WCR size 23.5+ (w/screws) $50 $19 60121990 463302

HELMETS FEATURE Helmet Sizes MSRP Your Price Item # Size QTY Total
DOWNFORCE MIPS razzleFIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57), L (58-59), XL (60-61), XXL (62-64) $339 $169 320110
DOWNFORCE MIPS white FIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57), L (58-59), XL (60-61), XXL (62-64) $309 $159 320120
DOWNFORCE anthracite FIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57), L (58-59), XL (60-61), XXL (62-64) $249 $129 320150
DOWNFORCE white FIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57), L (58-59), XL (60-61), XXL (62-64) $249 $129 320160
DOWNFORCE JR lime FIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57) $219 $109 320310
DOWNFORCE JR white FIS RH 2013-Cert. XS (52-53), S (54-55), M (56-57) $219 $109 320320
TEAM SL white/black Tool-Free Chinguard XS/S (52-55), M/L (56-59), XL/XXL (60-63) $209 $109 320410
TEAM SL anthracite/blackTool-Free Chinguard XS/S (52-55), M/L (56-59), XL/XXL (60-63) $209 $109 320420
CHINGUARD SL CHINGUARD FOR DOWNFORCE HELMETS | ONE SIZE $49 $29 378577 --
DOWNFORCE FITTING KCUSTOM FIT KIT FOR DOWNFORCE HELMETS | ONE SIZE $39 $19 378930 --
GOGGLES Description MSRP Your Price Item # -- QTY Total
SENTINEL 5K gold white + SL 5K GOLD (S3, VLT 15%) & ORANGE (S1, VLT 57%) TORIC UV400 LENSES, XTR$249 $129 390011 --
SENTINEL DH + SL BROWN (S2, VLT 18%) & ORANGE (S1, VLT 57%) TORIC UV400 LENSES, XTRA $219 $109 390030 --
SENTINEL black + SL BROWN (S2, VLT 18%) & ORANGE (S1, VLT 57%) TORIC UV400 LENSES, XTRA $219 $109 390050 --
SENTINEL razzle + SL BROWN (S2, VLT 18%) & ORANGE (S1, VLT 57%) TORIC UV400 LENSES, XTRA $219 $109 390070 --
CONTEX PRO 5K RACE chrome black + 5K CHROME (S2, VLT 23%) & ORANGE (S1, VLT 57%) TORIC UV400 LAMINATE $159 $79 390161 --
CONTEX PRO 5K RACE chrome white + 5K CHROME (S2, VLT 23%) & ORANGE (S1, VLT 57%) TORIC UV400 LAMINATE $159 $79 390171 --
CONTEX PHOTO WCR PHOTOCHROMATIC DOUBLE LENS (S1-S3, VLT 54-16%), EXTREME WIDE FOV $149 $79 392422
**Extra spare lenses available. Please see catalogue for options and details.
POLES Sizes (CM) MSRP Your Price Item # Size QTY Total
Worldcup SG 110, 115, 120, 125, 130, 135 $169 $89 381052
Worldcup SL 110, 115, 120, 125, 130, 135, 140 $149 $79 381072
Worldcup Rebels Carbon 105, 110, 115, 120, 125, 130, 135, 140 $199 $99 381202
HEAD WC SL Protector ONE SIZE (not compatible with carbon pole) $89 $49 381340 --
Worldcup SG JR 90, 95, 100, 105, 110 $109 $59 381062
Worldcup SL JR 90, 95, 100, 105, 110 $89 $49 381082

LUGGAGE Notes MSRP Your Price Item # Size QTY Total

Rebels Travelbag BLACK / WHITE / YELLOW $259 $159 383002 --
Rebels Backpack BLACK / WHITE / YELLOW $109 $69 383012 --
Rebels Racing Backpack S BLACK / WHITE / YELLOW $169 $109 383042 --
Rebels Racing Backpack L BLACK / WHITE / YELLOW $189 $119 383032 --
Rebels Boot Carry On BLACK / WHITE / YELLOW $89 $59 383921 --
Heatable Bootbag GREY / BLACK / YELLOW $339 $209 383192 --
Rebels Single Skibag BLACK / WHITE / YELLOW $99 $59 383931 --
Rebels Double Skibag BLACK / WHITE / YELLOW $189 $119 383022 --
Rebels Coaches Backpack BLACK / WHITE / YELLOW $200 $129 383962 --
SMU 3 Pairs Skibag GREY / BLACK / YELLOW $529 $329 383270 --
SMU 4 Pairs Skibag GREY / BLACK / YELLOW $449 $279 383280 --
Neon Yellow Ski Strap Additional ski straps --- $4 389228 --
Actual selling prices are determined by the HEAD dealer and may be different than what is shown on this form. FORM Total - $ -
Shipping charges will be billed to customer. Cost of shipment is determined by content of the order and chosen shipping method. SHIPPING
If possible for the ship-to location, expedited "2 Day" and "Overnight" delivery is available for an additional charge. This can cost up to 5x ground rates. METHOD
GROUND $ TBD
Applicable state sales taxes and shipping charges will be added and detailed on invoice. SALES TAX (if applicable) $ TBD
*The credit card pre-authorization charge will likely be larger than what the FORM Total shows.*
TOTAL SALE $ TBD
Any difference between the pre-authorization charge and after tax + shipping charges will be credited upon shipment.