ANNUAL RACE FIT DAY Kaye St Manchester, NH

Transcription

1 ANNUAL RACE FIT DAY Kaye St Manchester, NH

2 216/217 Atomic Alpine Bronze Team Order Form Customer Name: Address: City: State: Zip: Phone: Credit Card: Expiration: CVV: Zip for CC: Program Affiliation: Coach: COLLECTIVE CODE: RACEBRONZE MATERIAL # MATERIAL DESCRIPTION GENDER SIZING NEW C/O BRONZE Size Quantity EXT ADULT FIS SKIS AA REDSTER FIS DOUBLEDECK DH M (R5m) M 218 NEW 1, AA REDSTER FIS DOUBLEDECK DH M (R5m) F 213 NEW 1, AA REDSTER FIS DOUBLEDECK SG M (R45m) M 212 NEW 1, AA REDSTER FIS DOUBLEDECK SG W (R4m) F 21 NEW 1, AA REDSTER FIS DOUBLEDECK GS M (R35m) M 195 NEW 1, AA REDSTER FIS DOUBLEDECK GS M (R35m) M 19 NEW 1, AA2614+ REDSTER FIS DOUBLEDECK GS W (R3m) F 188 NEW 1, AA REDSTER FIS DOUBLEDECK GS W (R3m) F 183 NEW 1, AA REDSTER RS DOUBLEDECK GS (R27.5m) U 19 NEW 1, AA REDSTER FIS DOUBLEDECK GS (R26m) U 186 NEW 1, AA REDSTER RS DOUBLEDECK GS (R24m) U 183 NEW 1, AA REDSTER RS DOUBLEDECK GS (R21m) U 176 NEW 1, AA REDSTER FIS SL M M 165 NEW 1, AA2615+ REDSTER FIS SL W F 157 NEW 1, AA REDSTER FIS DOUBLEDECK GS U NEW JUNIOR FIS SKIS 1 AA REDSTER FIS DOUBLEDECK SG U 2 NEW 1, AA REDSTER FIS DOUBLEDECK SG U 193 NEW AA2616+ REDSTER FIS DOUBLEDECK SG U 186 NEW AA2613+ REDSTER FIS DOUBLEDECK GS JR J 166 NEW AA REDSTER FIS GS JR J NEW AA REDSTER FIS GS JR J NEW AA REDSTER FIS SL JR J 152 NEW AA REDSTER FIS SL JR J NEW AA REDSTER FIS XT JR J NEW BINDINGS AD516+ X 2 EGA BLACK/WHITE U B7 C/O AD517+ X 19 MOD BLACK/WHITE U B7 NEW AD5166+ X 16 VAR BLACK/WHITE U B7 C/O AD5168+ X 12 VAR BLACK/WHITE U B7 C/O AD5174+ N Z 12 BLACK/WHITE U NEW AD5176+ N Z 1 BLACK/WHITE U 75 1 NEW AD5178+ N L 7 BLACK/WHITE J 75 9 NEW BOOTS AE REDSTER FIS 17 LIFTED RED/BLACK U C/O AE REDSTER FIS 15 LIFTED RED/BLACK U C/O AE REDSTER FIS 13 RED/BLACK U C/O AE REDSTER FIS 11 RED/BLACK U C/O AE5128+ REDSTER FIS 9 RED/BLACK U C/O AE REDSTER FIS 7 RED/BLACK U C/O AE REDSTER JR 6 RED/BLACK J C/O POLES AJ REDSTER CARBON COMPOSITE RED/W U NEW AJ5525+ REDSTER 12 XT ORANGE U C/O AJ REDSTER 1 XT BLACK U C/O AJ REDSTER 1 BLACK/RED U C/O HELMETS AN5539+ REDSTER WC MIKAELA U XXS XS S M L XL XXL C/O AN REDSTER WC WHITE U XXS XS S M L XL XXL C/O AN5534+ REDSTER WC ORANGE U XXS XS S M L XL XXL NEW AN5535+ REDSTER REPLICA WHITE U XXS XS S M L NEW AN REDSTER REPLICA ORANGE U XXS XS S M L NEW AN REDSTER LF SL WHITE U S M L NEW AN REDSTER LF SL ORANGE U S M L NEW SL GUARDS AN SL CHIN GUARD REDSTER U NS NEW JUNIOR RACE AN REDSTER JR WHITE J JS JM C/O

3 216 RACE ORDER FORM AFFILIATED SKI SHOP ORDERING PROCEDURE: FILL IN ALL APPROPRIATE BOXES SAVE AS LASTNAME/BTORDER216 ORDER DATE ORDER TO: ATHLETE NAME: SHIPPING ADDRESS: CITY, STATE, ZIP: DATE OF BIRTH: GENDER: COACH: RACE PROGRAM: BILLING INFORMATION NAME ON CARD: CARD TYPE: VISA OR MC ONLY CREDIT CARD/EXP/CCV CITY, STATE, ZIP: SPONSORSHIP PACKAGES FOR SPONSORSHIP INFORMATION VISIT A BLIZZARD/TECNICA CERTIFIED RACE CENTER PRODUCTS CAN FOUND ON OUR WEBSITE PEARSON NEAL NATIONAL COMPETITION MANAGER CELL: OFFICE: EXT: 7257 PNEAL@TECBLIZZ.COM NOTES PRODUCTS A 'LA CARTE SKIS ADULT RACING / FIS SIZE BLIZZARD DH WC RD (212/218) 5m BLIZZARD SG WC RD (25/212) 4/45m BLIZZARD GS WC RD (188/195) 3/35m BLIZZARD GS WC (184/188) 25m/27m BLIZZARD SL WC (156/165) JUNIOR RACING / USSA BLIZZARD SGJ WC PLATE (185/195) 3/33m BLIZZARD GS WC TWEENER (177/184) 23m/25m BLIZZARD GS JR WC (149/156/163/17) BLIZZARD SL JR WC (122,129,136/14/15) BLIZZARD RC IQ JR (12/13/14/15) BLIZZARD RC IQ JR (7/8/9/1/11) PRO RACE SKIS BLIZZARD WRC (172/176/182/186) BLIZZARD SRC (156/16/165/17/175) BLIZZARD RC TI (154/16/166/172/178) BOOTS TECNICA WORLD CUP R 9.3 WC 15 (US 411) 93mm R 9.3 WC 13 (US 411) 93mm R 9.3 WC 11 (US 411) 93mm TECNICA MACH/ JUNIOR MACH 1 R 11 LV (US ) 98 mm MACH 1 R 9 (US ) 95mm R PRO 7 ( ) R PRO 6 ( ) SIZE QTY PRICE TOTAL QTY PRICE TOTAL ACCESSORIES BOOT LIFTERS AND LINERS WC BOOT LIFTER (4MM, 5MM, 6MM) TECNICA WC LINER LACE UP SIZE QTY HATS, TEES, HOODIE, ETC Blizzard Tee Tecnica Tee Blizzard/Tecnica Team Hat Blue TECNICA LOGO HAT Blue/Grey PRICE TOTAL RACE PURCHASE PROGRAM RULES ATHLETE MUST READ & SIGN 1. ALL SPONSORSHIP ORDERS NEED RACE DEPARTMENT APPROVAL 2. Sponsorships are qualified by USSA and FIS age ranking and championship event results 3. Sponsored athletes must race and train exclusively on Blizzard/Tecnica skis and boots BLIZZARD/TECNICA BAGS/BUFFS /STRAPS BACKPACKS AND TRAVEL GEAR Tecnica Back Pack Blizzard Travel Roller Bag QTY PRICE TOTAL 4. Products purchased for personal use only 5. Product purchased on this form is under warranty until 4/17/ Allow 12 weeks for shipping 7. No REFUNDS or EXCHANGES 8. Product is subject to availability 9. Subject to state sales tax 1. Purchase program expiration: 12/31/ TAX CA:7.55%, CO;2.9%, MI:6.%, MN:7.3%, NC:7.8% NJ:7.%, NY:8.%, OH:7.%, PA:6.%, UT:6.9%,WA:8.7% Bryce Astle Good Vibes Buff ( Astle foundation) Blizzard Straps SHIPPING & HANDLING CHARGES 1 PAIR OF SKI/BOOTS 2 PAIR OF SKI/BOOTS PACKAGE SHIPPING 1 5 2DAY GROUND I have read the above rules and agree to the terms stated. SIGNATURE: *State sales tax not included BLIZZARD/TECNICA USA 19 TECHNOLOGY DRIVE WEST LEBANON, NH 3784 PHONE: FAX: TO INQUIRE ABOUT STATUS OF ORDER PLEASE SEND TO: TCS@TECBLIZZ.COM SUBTOTAL SHIPPING ORDER TOTAL TOTAL

4 Bindings Bindings Bindings Bindings Name: Address: City, State, Zip: Phone: Ordering Procedure Or Total Accessories Fill in gray squares Credit Card # Visa Save as "Name/Fischerraceorder" or MC ONLY Order Total* Order form to race representative Pearson.neal@fischersports.com Name: Expiration Date Month Year Or Fax: Attn. Colleen Fischer Skis Address: *Does not include shipping or tax charges City, State, Zip: Add 1. to Package order for World Cup Boots Package Options 216/217 Form Specify ModelSize Affiliated Ski Shop Shipping Address A 'LA Carte Total Ski Packages Total A 'la Carte F1 5,6. F2 6,75. F3 7,9. Ski/Boot Size World Cup Skis Item # Radius QTY Skis 2 RC4 WC GS 2 RC4 WC GS 2 RC4 WC GS RC4 Worldcup Downhill A115 R> RC4 WC SL 2 RC4 WC SL 2 RC4 WC SL RC4 Worldcup Downhill A315 R> RC4 WC SG or DH 1 RC4 WC SG RC4 Worldcup SuperG A115 R> RC4 WC DH RC4 Worldcup SuperG A1215 R> Boot 1 RC4 Pro 13 Vacuum 1 RC4 Pro 13 Vacuum 1 RC4 Pro 13 Vacuum A216 R> A2115 R> RC4 Worldcup Giant Slalom Sponsorship Level Platinum ( rep Discretion) Qty A316 R> Availability USST Full Package/Full Sponsorship Qty RC4 Z 16/18/2 Service RC4 Z 17 Freeflex A3115 A416 R>3 R> Top 3 Men/Women RC4 Z 13 Freeflex 125. RC4 Worldcup Slalom 725. Reps Discretion RC4 Z 11 Freeflex 14. A4616 R>1/R> Sponsorship Level Gold (limited) Add Bindings To Package price Qty RC4 Worldcup Masters/USSA GS A3416 R>25/ Availability Rep Approval Needed Qty RC4 Z 16/18/2 Service 24. Skis Item # System Binding QTY F1 F2 Add 1 For World Cup Boot 1,775. 2,188. RC4 Z 17 Freeflex RC4 Z 13 Freeflex RC4 SPEED RC4 WC RC RACETRACK RC4 WC SC RACETRACK A7516 A616 A6516 RC4 Z11 Powerrail RC4 Z12 Powerrail RC4 Z12 Powerrail F3 2,6. RC4 Z 11 Freeflex 14. Jr. Skis Item # System Binding QTY Sponsorship Level Silver (limited) Add Bindings To Package Qty RC4 Worldcup SuperG Jr RC4 Worldcup SuperG Jr A1415 A1515 R>3/R>4 R> Availability Rep Approval Needed Qty RC4 Z 16/18/2 Service 275. Jr. Skis Item # System Binding QTY F1 F2 2,483. 3,63. RC4 Z 17 Freeflex RC4 Z 13 Freeflex RC4 Worldcup GS JR. WCPJR. RC4 Worldcup GS JR. WCPJR. A1216 A116 R>22/R>23 R>11/R> F3 3,64. RC4 Z 11 Freeflex 14. Jr. Skis Item # System Binding QTY Sponsorship Level Bronze Add Bindings to the Package Qty RC4 Worldcup SL JR. WCPJR. RC4 Worldcup SL JR. RPJR. A1116 A11516 R>7/R>1 R> Availability F1 Open 3,54. Qty RC4 Z 16/18/2 Service RC4 Z 17 Freeflex RC4 SPEED JR RC4 Superior JR. RAIL A12716 A12516 Jr Plate FJ7 AC Jr. Rail F2 4,365. RC4 Z 13 Freeflex 2. F3 5,19. RC4 Z 11 Freeflex 14. Bindings RC4 Z2 FreeFlex Service Item # T215 blk/yel DIN 12 Standard Adult QTY 3. RC4 Z18 FreeFlex Service T315 blk/yel 818 Adult 3. RC4 Z16 FreeFlex Service T415 blk/yel 816 Adult 3. RC4 Z17 FreeFlex T516 blk/yel 617 Adult 225. Accessories RC4 Z13 FreeFlex T616 blk/yel 413 Adult 2. Accessory Bags & Backpacks Teamtourer Z16 Teamtraveller Z116 Size 126 liters 93 liters Qty Total Beanies, Hats and Bandanas CILOGO Buff Freeride Buff Item G3614 G Qty Total RC4 Z11 FreeFlex RC4 Z9 AC FJ7 AC T716 T816 T8116 blk/yel blk/yel wht/yel Adult Adult Adult/Child Team Trolly Z1116 Backpack Z3516 Backpack Jr Z liters 55 liters 4 liters Ranger Buff Fischer Trucker Hat Fischer Logo Hat G35115 W173 W Binding Lift Kits SL GS Item # T T QTY Backpack Notebook Z liters 59. Freeski Hat W Individual Lifters can be purchased for 8. per (set of 2) in 3mm, 2mm and 1mm w/screws (upon request) Ski Bags Burrito (4PR) Z329 Burrito (4PR) Z339 Burrito (3PR) Z1511 Size Qty Total Fischer Clothing Freeride Gloves G3115 Alpine Belt W1725 Work Gloves WF434 Size Qty Total Boots Vacuum Fit World Cup 14 World Cup 12 RC4 PRO 15/13 VACUUM Item # U16 U1316 U115 Last MM yel/yel yel/yel blk/wht Available sizes 24.5,25.5,26.5,27.5, ,23.5,24.5,25.5, ,23.5,24.5,25.5,26.5,27.5,28.5,29.5 Size QTY Wheeled Bags Size Qty Total Tuckerman Flannel G RC4 1 JR VACUUM U yel/yel 22.5,23.5,24.5,25.5,26.5, PR Wheel Ski Bag Z PR Wheel Bootbag Z Pair Schladming Hoodie Grn/Yel Logo TShirt Blk/Yel Boot Lifters 3MM Item # Last MM black Available sizes Size QTY 35. Ski Straps Size Qty Total Brand Hoodie W155 Blk.Grn 4. Boots JR. Item # Last MM Available sizes Size QTY code Ski Straps Z7612 5mm 5. Mountain Tee Dark Blu 18. RC4 JR 8 U yel/yel 22.5,23.6,24.5,25.5, Socks Size Qty Total Boot Liners Size Qty Total RC4 JR 7 U yel/yel 21.5,22.5,23.5,24.5,25.5, Alpine Sock G RC4 WC LaceUp 15. RC4 JR 6 U yel/yel 21.5,22.5,23.5,24.5,

5 2/22/216 Athlete Name: Credit Card: 216/17 RACE FORM Order Date: Shipping Address: Exp Date: Ship Date: Billing address: Only valid when authorized by a HEAD Representative Rep Signature: Phone Number: Address: Customer Signature: PACKAGE: ADULT RACE SKIS DH 218 Plate DH 215 Plate DH 21 Plate SGM 213 Plate SGL 27 Plate W SGM 27 Plate M SGL 22 Plate WC Rebels igs RD SW RP Men wh/bk WC Rebels igs RD SW RP Women wh/bk WC Rebels igs RD SW Plate wh/bk WC Rebels isl RD SW Plate wh/bk JUNIOR RACE SKIS SG 195 JRP RDX SG 185 JRP RDX SG 175 JRP RDX WC Rebels igs RD Team SW JRP RDX wh/bk WC Rebels igs RD Team SW JRP RDX wh/bk WC Rebels isl RD Team SW JRP RDX wh/bk JUNIOR MULTIEVENT SKIS WC i Team bk/nyw ADULT RAPTOR RACE BOOTS RAPTOR B2 RD WHITE RAPTOR B3 RD WHITE RAPTOR B5 RD WHITE RAPTOR 14 RS WHITE RAPTOR 12 RS WHITE JUNIOR RAPTOR RACE BOOTS RAPTOR 9 RS WHITE RAPTOR 8 RS WHITE RAPTOR 7 WHITE COMPETITION FREE FLEX BINDINGS FREEFLEX EVO 2X RD BR.85[A]bk/wh/fla.yw FREEFLEX EVO 16X RD BR.85[A]bk/wh/fla.yw FREEFLEX and JR RACE BINDINGS FREEFLEX EVO 16 BRAKE 85[A]bk/wh//fla.yw FREEFLEX EVO 14 BRAKE 85[D]bk/wh//fla.yw FREEFLEX EVO 11 BRAKE 85[D]bk/wh//fla.yw EVO 9 AC Jr. BRAKE 78[J]s.bk/fla.yw SX 7.5 AC BRAKE 78[J] s.wh/bk SX 4.5 AC BR.74[K] sol.wh/bk BINDING LIFTERS RDX EVO GS base plate set 2/3mm(1 Set) RDX EVO SL base plate set 5/8mm(1 Set) Toe base plate set FF PRO 4mm *actual selling prices are determined by the HEAD dealer. RADIUS * Item # cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, cm 1, RADIUS * Item# cm 1, cm 1, cm 1, cm cm cm RADIUS * Item# cm LAST * Item# Size Size Size Size Size LAST * Item# Size Size Size DIN * Item# Qty DIN * Item# Qty * Item# Qty *see note to right of qty *see note to right of qty SIZING *only for Freeflex EVO 2X RD and Freeflex EVO 16X RD Bindings *only for Freeflex EVO 2X RD and Freeflex EVO 16X RD Bindings HELMETS * Item# XS XS/S S M M/L L XL XL/XXL XXL STIVOT RACE Carbon black STIVOT RACE Carbon white/black STIVOT SL + Chinguard black STIVOT SL + Chinguard white/black POLES * Item# ONE SIZE Worldcup SG Worldcup SL HEAD WC SL Protector Worldcup SG JR Worldcup SL JR LUGGAGE * Item# Qty Rebels Travelbag Rebels Backpack Rebels Racing backpack S Rebels Racing backpack L Rebels Double Skibag Rebels heatable boot backpack PROMOWEAR * Item# Qty XS S S/M M L XL L/XL XXL WC REBEL FLEXFIT TRUCKER CAP GRAY WC REBEL SNAPBACK CAP FLR.YELL WC REBEL FOAM TRUCKER CAP FLR.YELL WC REBEL SNAPBACK CAP WC REBEL BUFF WC REBEL HOODIE BLACK WC REBEL TEE BK Phone: Fax: Head.com Shipping Costs: To be determined by the size of order. **Pre_Authroization Charge will be larger than the Total Order Amount** *actual selling prices are determined by the HEAD dealer. **State Sales Taxes Apply ORDER SHIPPING TOTAL ORDER

6 ALPINE RACE DEPARTMENT ATHLETE SHIPPING INFORMATION ORDER FORM BILLING INFORMATION Name: Form expires 3/31/17 Name on Card: Address: Address: City: City: State: ZIP: State: ZIP: COACH: Phone: *DIGITALLY COMPLETED FORMS ONLY* HAND WRITEN or FAX FORMS WILL NOT BE ACCEPTED CARD NUMBER: EXP DATE: CCV #: SPEED r Qty Size Total DAEY1DH SPEED DH FIS R21 WC 7mm Plate 218 MEN 5m 85 DAEY1DH SPEED DH FIS R21 WC 7mm Plate 216 WOMEN 5m 85 DAEY1SG SPEED SG FIS R21 WC Plate 212 MEN 45m 85 DAEY1SG SPEED SG FIS R21 WC Plate 23 / 29 WOMEN 4m 85 DAEYR12 SPEED SG FIS R21 RACING Plate 196 / 186 JR 8 GS r Qty Size Total DAFDL SPEED WC GS R21 WC Plate MEN 35M DAFDL DAFDL1 SPEED WC GS R21 WC Plate WOMEN 3M 183 / DAFDL1 SPEED WC GS R21 WC m TWEENER *NOT FIS LEGAL FOR U18+* 75 DAFDM1 SPEED WC GS R21 Racing TWEENER *NOT FIS LEGAL for U18+* 68 SL r Qty Size Total DAFAB1 SPEED WC SL R21 WC Plate DAFAZ2 SPEED WC SL R21 Racing Plate MASTERS r Qty Size Total DAFDB1 SPEED MASTER R21 WORLD CUP *NOT FIS LEGAL* 75 JR r Qty Size Total DAFDM2 SPEED TEAM GS R21 Racing Plate TWEENER *NOT FIS LEGAL for U18+* 385 DAFDM3 SPEED TEAM GS R2 Pro Plate DAFAX SPEED TEAM SL R2 Pro Plate DAFAV DAFAV1 SPEED TEAM PRO OPEN "No Plate" 35 DADBB3 SPEED TEAM COMP "No Plate" 225 LOOK BINDINGS ADULT BINDINGS r Qty Total FCFA2 PX 18 RACING ROCKERFLEX 335 FCFA22 SPX 15 RACING ROCKERFLEX 26 FCFA24 SPX 12 RACING ROCKERFLEX 2 FCFA23 SPX 14 ROCKER RACE (FOR MASTERS SKI ONLY) 21 JR BINDINGS r Qty Total FCFA65 SPX 1 13 FCFA7 NX JR 1 12 FCFA71 NX JR 7 LIFTED (NON PLATE SKI) 95 FCFA72 NX JR 7 (PLATESKI) 75 FCFA76 TEAM 4 6 FC6F2 Axium Jr Sole Adaptor Kit 15 BINDING LIFTER KITS 1 kit recommended per binding (screws included) r Qty Total FCFF1 1mm PX18 / SPX15 / 14 / 12 GS and 165cm SL Lifter Kit 1 FCFF11 3mm PX18 / SPX15 Tweener GS Lifter Kit 35 FCFF12 5mm PX18 / SPX15 Slalom cm Lifter Kit 5 FCFF13 3mm SPX 12/14 Tweener GS Lifter Kit 35 FCFF14 5mm SPX 12/14 Slalom cm Lifter Kit 5 DYNASTAR BAGS r Qty Total DKFB1 Speed Cargo Bag 2 DKFB13 Speed Wheeled Ski 2/3pr Ski Bag (L197CM) 22 DKFB14 Speed Ski 2 pr Bag (L198CM) 1 DKFB11 Speed Duffle Bag 5L 18 DKENG1 Master Blaster Glove (Dynastar) BLACK 8 DKENG3 Master Blaster Glove (Dynastar) WHITE 8 LKEF11 Snow Farmer Glove (Lange) 4

7 WORLD CUP BOOTS r Qty. Size: Total LBF924 WORLD CUP RP R26 15 ZC LBF925 WORLD CUP RP R26 13 ZB LBF926 WORLD CUP RP R26 12 ZA LBF927 WORLD CUP RP R26 11 ZJ * 625 LVFLZ3 WORLD CUP RP R26 Lace up Liner LVELZ1 3mm Boot Lifter Kit 35 LVELZ2 5mm Boot Lifter Kit 35 RS BOOTS r Qty Size Total LBF11 RS LBF13 RS LBF15 RS 13 WIDE LBF17 RS LBF19 RS 11 WIDE SHORT CUFF BOOTS r Qty Size Total LBF121 RS *Short Cuff" 425 LBF131 RS *Short Cuff" 375 LBF51 RS *Short Cuff" 3 LBF53 RS *Short Cuff" 275 JR BOOTS r Qty Size Total LBF512 RSJ LBF514 RSJ LBF517 RSJ KERMA POLES r Qty Size Total DDF11 SPEED CARBON 12.7mm(11514cm) 125 DDF12 SPEED SG/GS Pole 18mm (11514cm) 1 DDF13 SPEED SL Pole 18 mm (11514cm) 1 DDF6 JR SPEED GSSG 16mm (9115) 5 DDF61 JR SPEED SL 16mm (9115) 5 DDF62 JR SPEED TEAM 14mm (715) 3 DKFP1 Integral Hand Protection Full 18 & 16mm 7 LANGE BAGS r Qty Total LKFB12 r Bag 16 LKFB13 Starting Bag 1 LKFB14 Backpack Seat 13 LKFB15 Pro Bag 12 LKFB16 Pro Boot Bag 7 LKFB11 Heated Boot Bag 22 SKIS BINDINGS BOOTS ACCESS. MAXIMUM GROUND: ND DAY: OVERNIGHT: Sales Tax will be added for: Utah, Nevada, Maine, California, New York, Washington UNITS TOTAL: NOTES: SKIS * * SHIPPING & HANDLING CHARGES (per pair/item): SHOP APPROVAL Choose Rep Approved Sponsorship Below Click Here *Sponsorships are based on published criteria and National Rep Approval *Nothing will be shipped until payment has cleared. No exceptions *All Sales are final. Sales are based on availability of inventory *Full Time rs with valid USSA and F.I.S. licenses *Rossignol holds right to substitute product of equal or greater value *Warranty product will be filled out using the *Warranty Request Form* BINDINGS SPONSORSHIP DISCOUNT > SHIPPING: BOOTS ACCESSORIES GRAND TOTAL ATHLETEUSA.DYNASTAR.COM Use drop down to select > shipping method. Total Due: (TAX NOT INCLUDED) CLICK HERE SHIPPING: TBD select shipping method above

8 21617 RACE FORM NAME: VISA/MC: EXP: SHIPPING: PHONE: FIS REGULATION SKIS + PLATE SIZE (circle size) RADIUS ITEM # QTY RACER PRICE TOTAL WORLD CUP, SLR w/plate + UVO SL 165 N/A WORLD CUP, SLR w/plate + UVO SL 157 NEW! N/A RACE STOCK, SLR w/plate + UVO SL 155 NEW! N/A WORLD CUP, GSR w/plate + UVO GS m RACE STOCK, GSR w/plate + UVO GS m WORLD CUP, GSR w/plate + UVO GS 188 3m RACE STOCK, GSR w/plate + UVO GS 183 3m WORLD CUP, SG R FLAT (NO plate) SG m 649 WORLD CUP, SG R FLAT (NO plate) SG m 649 WORLD CUP, DH R FLAT (NO plate) DH m 649 U16/MASTERS NONFIS SKIS + PLATE SIZE (circle size) RADIUS ITEM # QTY RACER PRICE TOTAL RACE STOCK, GSR w/plate + UVO GS m RACE STOCK, GSR w/plate + UVO GS m RACE STOCK, GSR w/plate + UVO GS 178 NEW! 23m RACE STOCK, GSR w/plate + UVO GS 174 NEW! 21m JUNIOR RACE SKIS + PLATE SIZE (circle size) RADIUS ITEM # QTY RACER PRICE TOTAL GS R JR w/plate GS 132 N/A GS R JR w/plate GS M GS R JR w/plate GS M SL R JR w/plate SL N/A SG R JR FLAT (NO plate) SG M 419 RACE BINDINGS DIN / DESCRIPTION ITEM # QTY RACER PRICE TOTAL XCELL 18 8 to P1.WM 299 XCELL 16 6 to Q1.WR 225 XCELL 12 3 to Q1.WA 189 RACE 1 TCX 3 to 1 652P1.WX 129 RACE 1 3 to 1 652P1.WA 99 RACE JUNIOR 8 **JR LUG ONLY** 2 to 8 632P1.WA 89 WC PISTON PLATE 11/9mm GS / SG / DH PLATES 22NW.MW 125 WC PISTON PLATE 14/12mm SL PLATES 222N1.WS 125 UNIVERSAL RACE TUNING KIT LIFT KIT (2 TOE, 2 HEEL 2MM) 228N1.RT 18 ADULT WC RACE BOOTS (93 LAST) *extra buckles and lifters included FLEX MONDO SZ ITEM # QTY RACER PRICE TOTAL DRS WORLD CUP M 15 DDRSM6.LWH 59 DRS WORLD CUP S 13 DDRSS6.LWH 59 DRS WORLD CUP SS 11 DDRSSS6.LWH 59 DRS WORLD CUP XS 9 DDRSXS6.LWH 59 ADULT BOOTS (98 LAST) FLEX MONDO SZ ITEM # QTY RACER PRICE TOTAL DRS 13 UNI 13 DDRS DRS 11 UNI 11 DDRS DRS 9 UNI 9 DDRS JR RACE BOOTS FLEX MONDO SZ ITEM # QTY RACER PRICE TOTAL JR SCORPION 7 7 DS7J6.LW 169 JR SCORPION 6 6 DS6J6.LW 139 RACE POLES (circle color) SIZE (circle size) ITEM # QTY RACER PRICE TOTAL SPEEDSTICK ( RED ) or ( YELLOW ) /1 37 JUNIOR SPEEDSTICK ( YELLOW ) FEDEX GROUND: 25 SKIS / 1 BINDINGS / 2 BOOTS UPS 2 DAY: 5 SKIS / 25 BINDINGS / 3 BOOTS OVERNIGHT: 75 SKIS / 5 BINDINGS / 6 BOOTS **NO EXCHANGES OR REFUNDS MARKER DALBELLO VOLKL 112 ETNA RD. LEBANON, NH PLEASE COMPLETED FORMS TO STEELIE.KORPI@MDVUSA.COM SHIPPING TOTAL (LOCAL TAXES APPLY)

9 217 RACE ORDER FORM NOTES ORDERING PROCEDURE: FILL IN ALL APPROPRIATE BOXES AFFILIATED SKI SHOP SAVE AS LASTNAME/NORDICAORDER217 ADULT RACING / FIS SIZE QTY PRICE TOTAL ORDER TO: ORDER DATE DOB. DH WC DEPT EDT (212/218) 5m 799 EKORPI@NORDICAUSA.COM OR YOUR DOB. SG WC DEPT EDT (25/212) 4/45m 799 LOCAL NORDICA CRC DEALER DOB. GS WC DEPT PLATE (188/195) 3/35m 749 ATHLETE AND SHIPPING INFORMATION DOB. SL WC DEPT PLATE (156/165) 749 ATHLETE NAME: DOB. SL WC PLATE (156/165) 749 SHIPPING ADDRESS: JUNIOR RACING / USSA CITY, STATE, ZIP: DOB. SGJ WC PLATE (185/195) 3/33m 749 DATE OF BIRTH: GENDER: DOB. GS WC PLATE (184) 25m 699 RACE PROGRAM: COACH: DOB. GS RACE PLATE (177) 23m 549 BILLING INFORMATION DOB. GSJ PLATE (149/156/163/17) 379 NAME ON CARD: DOB. GSJ FLAT (135/142) 299 CARD TYPE: VISA OR MC ONLY DOB. SLJ PLATE (136/14/15) 379 CREDIT CARD #: DOB. SLJ FLAT (122/129) 299 EXPIRATION DATE: 3 DIGIT SECURITY CODE: DOB. COMBI PRO S FLAT(12/13/14/15) 259 BILLING ADDRESS: PRO RACE SKIS CITY, STATE, ZIP: DOB. GSR RB PISTON (167/172/176/182/186) DOB. SLR EVO (156/16/165/17) 769 SKIS PRODUCTS PRODUCT INFORMATION FOR MORE INFORMATION VISIT A NORDICA CERTIFIED RACE CENTER DEALER LOCATOR CAN FOUND ON OUR WEBSITE RACE DEPARTMENT CONTACT ETHAN KORPI NATIONAL RACE MANAGER CELL: OFFICE: EXT: 521 EKORPI@NORDICAUSA.COM BOOTS DOBERMANN WORLD CUP SIZE QTY PRICE TOTAL DOB WC 15 (UK 51) 93mm 549 DOB WC 13 (UK 31) 93mm 549 DOB WC 11 (UK 38) 93mm 499 DOBERMANN GP JUNIOR DOBERMANN GP 9 ( ) 98 mm 279 DOBERMANN GP 7 (22.28.) 215 DOBERMANN GP TEAM (18.28.) 143 DOBERMANN GP DOBERMANN GP 13 ( ) 98 mm 499 DOBERMANN GP 12 ( ) 98 mm 429 DOBERMANN GP 11 ( ) 98 mm 359 ACCESSORIES BOOT LIFTERS AND LINERS SIZE QTY PRICE TOTAL WC BOOT LIFTER (4MM, 5MM, 6MM) 35 DOBERMANN WC LINER LACE UP 115 DOBERMANN WC LINER FOAM + KIT 199 HATS, TEES, HOODIE, ETC SKI STRAPS RACE RED 5 BLACK NORDICA LOGO HAT 1 HOODIE ZIP GRAY (S, M, L) 45 NORDICA INVICTA BAGS RACE PURCHASE PROGRAM RULES BACKPACKS AND TRAVEL GEAR QTY PRICE TOTAL ATHLETE MUST READ & SIGN RACE XL GEAR PACK ALL SPONSORSHIP ORDERS NEED RACE DEPARTMENT APPROVAL DUFFLE ROLLER Sponsorships are qualified by USSA and FIS age ranking and championship event results RACE XL DUFFLE ROLLER Sponsored athletes must race and train exclusively on Nordica skis and boots DOUBLE ROLLER SKI BAG (2CM) Products purchased for personal use only RACE 3 PAIR BAG (2CM) Product purchased on this form is under warranty until 4/1/217 RACE 3 PAIR DH BAG (22CM) Allow 12 weeks for shipping 7. No Refunds or Exchanges SHIPPING & HANDLING CHARGES 2DAY GROUND TOTAL 8. Product is subject to availability 1 PAIR OF SKI/BOOTS Subject to State Sales Tax 2 PAIR OF SKI/BOOTS Purchase program expiration: 12/31/216 PACKAGE SHIPPING 2 1 I have read the above rules and agree to the terms stated. SIGNATURE: *State sales tax not included NORDICA USA 19 TECHNOLOGY DRIVE WEST LEBANON, NH 3784 PHONE: FAX: TO INQUIRE ABOUT STATUS OF ORDER PLEASE SEND TO: NCS@NORDICAUSA.COM SUBTOTAL SHIPPING ORDER TOTAL

10 Model 216_17 POC US Alpine Athlete Form 1) For every item that you order, please make sure you give three preferences. This is in the 3rd column. Please put a "1" for your first option, "2" for your second and "3" for your third. 2) Please be sure to accurately fill out the credit card information so that your local retailer can get your order processed. 3) Please work with your local POC sales rep to determine which local retailer has your requested items in current stock. All orders are contigent on retailer's inventory. CREDIT CARD INFORMATION: Billing Address: City, State, Zip Name on card: Card Type: Card #: CSV #: Exp. Date: Total Amount USD: PLEASE NOTE: This form reflects all available colors and sizing. If a size or color appears to be missing, that item is not available for race night purchase. Goggles Model Retina Retina Retina Retina Retina Retina Retina NXT Retina NXT Retina JULIA Retina Big Retina Big Uranium Black Zink Orange All Black Black Orange Metallic White Number your top Circle your size: Goggles PERSONAL INFORMATION: NAME: PHONE: CLUB: POC RETAIL STORE: NXT NXT Iris Comp Iris Comp Iris Comp Iris Comp Iris Comp Iris Comp Retina Comp Retina Comp Retina Comp Retina Comp Retina Comp Retina Comp Retina Big Comp Retina Big Comp Retina Big Comp Retina Big Comp Retina Big Comp Retina Big Comp Lobes Lobes Lobes Lobes Lobes Lobes NXT Zink Orange Lactose Red Methane Green Ethylene Pink All Black Black Orange Uranium Black Zink Orange Hexane Yellow Uranium Black Zink Orange Hexane Yellow Uranium Black Zink Orange Hexane Yellow Uranium Black Methane Green All Black Uranium Black Zink Orange Methane Green Fluorescent Pink All Black Orange Number your top Circle your size: S Regular S S S Regular S

11 Goggles Helmets Stuff Model Number Number you Circle your size: Model your top 3 top 3 Circle your size: Retina Big Super Palm Comp VPD 2.O White XS S M L XL Retina Big Ethylene Pink Super Palm Comp VPD 2.O Black XS S M L XL Retina Big All Black Super Palm Comp VPD 2.O Julia XS S M L XL Retina Big NXT Black Palm Comp VPD 2. Glove White XS S M L XL Retina Big NXT Orange Palm Comp VPD 2. Glove Black XS S M L XL Retina Big JULIA Julia Blue Palm Comp VPD 2. Mitten White XS S M L XL Iris Stripes Uranium Black 1 9 Palm Comp VPD 2. Mitten Black XS S M L XL Iris Stripes Zink Orange 1 9 Palm Lite Glove White XS S M L XL Iris Stripes 1 9 S Palm Lite Glove Black XS S M L XL Iris Stripes 1 9 Print Liner Black S M L Iris Stripes Methane Green 1 9 Wrist Spring Glove Boron Blue 1 9 XS S M L XL Nail Glove Uranium Black 1 9 XS S M L XL Model Number your top 3 Circle your size Nail Glove Xenon Pink 1 9 XS S M L XL Nail Glove Krypton Blue 1 9 XS S M L XL Skull Orbic Comp XS/ S M/L XL/XXL Nail Mitten Uranium Black 9 81 XS S M L XL Skull Orbic Comp Uranium Black XS/ S M/L XL/XXL Nail Mitten Krypton Blue 9 81 XS S M L XL Skull Orbic Comp Lead Blue M/L Skull Orbic Comp Krypton Blue XS/ S M/L Number Model Skull Orbic Comp Julia Ed XS/S M/L your top 3 Circle your size: Skull Orbic X 2 18 XS S M L XL Maxilla Orbic White 5 45 Skull Orbic X Uranium Black 2 18 M L Spine VPD System Vest Black S M L Skull Orbic X Araldite Grey 2 18 S M L XL Spine VPD 2. Vest Black XS S M L Skull Orbic X Lead Blue 2 18 XS S M L XL XXL Spine VPD 2. Back High Fives Green S M L Skull Orbic X Actinium Pink 2 18 XS S M L XL XXL Spine VPD Air Vest Black S M L Skull Orbic X Julia White 2 18 XS S M L Spine VPD Air WO Vest Black S M Sinuse SL XS/ S M/L XL/XXL POCito VPD Spine Orange 1 9 S L Sinuse SL Uranium Black XS/ S M/L XL/XXL Hip VPD 2. Ski Shorts Black S M L Sinuse SL Lead Blue M/L XL/XXL Full Arm Jacket White S M L Full Arm Jacket JR White S M L Model Number Forearm Classic White 8 72 Regular Circle your size: your top 3 Shins Classic Jr. White 8 72 JR Stuff Ski Case Black Shins Classic White 1 9 JR Regular Stuff Ski Case Black Stuff Ski Case Black Stuff Backpack Black 1 9 6L Stuff Backpack Black L Stuff Poncho Black Stuff Coat Black 4 36 Helmet Case Black 5 45 Goggle Quiver Case Black 7 63 Goggle Case Black 4 36 Hands Gloves and Mittens Armor If there's a product that you would like, that's not on this form, please fill out the below and we will do our best to get you what you need. Model: Size: : Note: Inventory on certain colors may be low. Please number your second and third color choices to ensure you receive the item you want. We will do our best to fulfill the color you request, but

12 ATHLETE SHIPPING INFORMATION BILLING INFORMATION Name: ALPINE RACE DEPARTMENT Name on Card: Address: SPONSORSHIP FORM Address: City: Form expires 3/31/17 City: State: ZIP: State: ZIP: Coach: Phone: *DIGITALLY COMPLETED FORMS ONLY* CARD NUMBER: HAND WRITEN or FAX FORMS WILL NOT BE ACCEPTED EXP DATE: CCV #: SPEED r Qty Size Total RAFY1DH HERO FIS DH FIS R21 WC 7mm Plate 218 MEN 5m 85 RAFY1DH HERO FIS DH FIS R21 WC 7mm Plate 216 WOMEN 5m 85 RAFY1SG HERO FIS SG FIS R21 WC Plate 212 MEN 45m 85 RAFY1SG HERO FIS SG FIS R21 WC Plate 23 / 29 WOMEN 4m 85 RAFYR12 HERO FIS SG FIS R21 RACING Plate 196 / 186 JR 8 GS r Qty Size Total RAFDL HERO FIS GS R21 WC Plate MEN 35M RAFDL RAFDL1 HERO FIS GS R21 WC Plate WOMEN 3M 183 / RAFDL1 HERO FIS GS R21 WC m TWEENER *NOT FIS LEGAL FOR U18+* 75 RAFDM1 HERO FIS GS R21 Racing TWEENER *NOT FIS LEGAL FOR U18+* 68 SL r Qty Size Total RAFAB1 HERO FIS SL R21 WC Plate RAFAZ2 HERO FIS SL R21 Racing Plate MASTERS r Qty Size Total RAFDBO1 HERO MASTER R21 WORLD CUP *NOT FIS LEGAL* 75 JR r Qty Size Total RAFDM2 HERO FIS GS PRO R21 Racing Plate RAFCM3 HERO FIS GS R2 Pro Plate RAFAX HERO FIS SL R2 Pro Plate RAFAV RAFAV1 HERO FIS MultiEvent "No Plate" 35 RADBB1 HERO MultiEvents "No Plate" 225 ADULT BINDINGS r Qty Total FCFA2 PX 18 RACING ROCKERFLEX 335 FCFA22 SPX 15 RACING ROCKERFLEX 26 FCFA24 SPX 12 RACING ROCKERFLEX 2 FCFA23 SPX 14 ROCKER RACE (FOR MASTERS SKI ONLY) 21 JR BINDINGS r Qty Total FCFA65 SPX 1 13 FCFA7 NX JR 1 12 FCFA71 NX JR 7 LIFTED (NON PLATE SKI) 95 FCFA72 NX JR 7 (PLATESKI) 75 FCFA76 TEAM 4 6 FC6F2 Axium Jr Sole Adaptor Kit 15 BINDING LIFTER KITS r Qty Total FCFF1 1mm PX18 / SPX15 / 14 / 12 GS and 165cm SL Lifter Kit 1 FCFF11 3mm PX18 / SPX15 Tweener GS Lifter Kit 35 FCFF12 5mm PX18 / SPX15 Slalom cm Lifter Kit 5 FCFF13 3mm SPX 12/14 Tweener GS Lifter Kit 35 FCFF14 5mm SPX 12/14 Slalom cm Lifter Kit 5 WORLD CUP BOOTS r Qty. Size: Total RBF924 WORLD CUP RP R26 15 ZC RBF925 WORLD CUP RP R26 13 ZB RBF926 WORLD CUP RP R26 12 ZA RBF927 WORLD CUP RP R26 11 ZJ * 625 RBF12 HERO S.I RBF91 HERO S.I *Short Cuff" 375 RBF95 HERO S.I *Short Cuff" 3 RBF97 HERO S.I *Short Cuff" 275 RBF99 HERO JR RVFLZ3 WORLD CUP RP R26 Lace up Liner RVELZ1 3mm Boot Lifter Kit 35 RVELZ2 5mm Boot Lifter Kit 35

13 Accessories HELMETS r Qty Size Total RKDH1 HERO Carbon Fiber FIS (54,56,58,6,61) (F.I.S Approved) 3 RKEH12 HERO 9 FIS (54,56,58,6,61) AdultIncludes Chin Bar (RED) (F.I.S Approved) 19 RKEH1 HERO 9 FIS (54,56,58,6,61) AdultIncludes Chin Bar (PINK) (F.I.S Approved) 19 RKDH5 HERO JR (54,56,58) (F.I.S Approved) 11 GOGGLES r Qty Size Total RKDG1 HERO BLACK Goggle (BLACK) 8 RKEG1 HERO RG5 Goggle (WHITE) 8 RKFG1 HERO RG5 PinkGoggle (PINK) 8 RKFG51 HERO JR Goggle (WHITE) 35 POLES r Qty Size Total RDD13 HERO DH POLE 18mm (11514) 1 RDD14 HERO SG/GS Pole 18mm (11514cm) 1 RDD15 HERO SL Pole 18mm (11514cm) 1 RDD6 HERO GS/SG JR 16mm (9115) 5 RDD61 HERO SL JR 16mm (9115) 5 PROTECTION r Qty Size Total RKDP12 Hand Protection Half 18mm for adult poles 35 RKDP13 Hand Protection Half 16mm for junior poles 35 RKDP14 Intergral hand Prodtection full 18mm & 16mm 4 RKDP1 SL Leg Protection Adult 9 RKDP11 SL Leg Protection Junior 85 RKFP21 Back ProtcetionAdult 9 RKFP51 Back ProtcetionJunior 7 BAGS r Qty Total RKDB18 HERO Burrito WC 4 Ski Bag 145 RKDB17 HERO Wheeled Ski 2/3pr Ski Bag 17 RKDB16 HERO Ski 2/3pr 8 RKDB15 HERO Boot Pro Backpack 115 RKDB11 HERO Athletes Bag 125 RKFB1 HERO Boot Pack 9 RKDB14 HERO Pro Seat Backpack 9 RKEB1 HERO Heated Boot Bag 155 RKDB111 HERO ExplorerTravel Bag 14 RKDB12 HERO Starting Bag 6 STRAPS r Qty Total RK8N2 Alpine Rubber Pad Deluxe Ski Strap Pair 1 SKIS BINDINGS BOOTS ACCESS. MAXIMUM GROUND: ND DAY: OVERNIGHT: Sales Tax will be added for: Utah, Nevada, Maine, California, New York, Washington NOTES: * SHIPPING & HANDLING CHARGES (per pair/item): SHOP APPROVAL Choose REP Approved Sponsorship Below Click Here *Sponsorships are based on published criteria and National Rep Aprroval *Nothing will be shipped until payment has cleared. No exceptions SKIS BINDINGS GRAND TOTAL SHIPPING: *All Sales are final. Sales are based on availability of inventory *Full Time rs with valid USSA and F.I.S. licenses *Rossignol holds right to substitute product of equal or greater value *Warranty product will be filled out using the *Warranty Request Form* BOOTS ACCESSORIES ATHLETEUSA.ROSSIGNOL.COM Use drop down to select > shipping method to Total Due: (TAX NOT INCLUDED) UNITS TOTAL: SPONSORSHIP DISCOUNT: (Skis, B CLICK HERE SHIPPING: TBD select shipping method above