Keighley Albion Clubwear - Order Form

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1 2 3 4 5 6 7 8 Kid's Items Keighley Albion Clubwear - Order Form 9 10 11 LV372 Kids piped performance polo SIZE Age 5/6-24" Age 7/8-26" Age 9/10-28" Age 11/12-30" Age 13/14-32" PRICE 15.00 15.00 15.00 15.00 20.00 0 12 13 14 15 16 SIZE Age 5/6-24/26" Age 7/8-26/28" Age 9/10-28/30" Age 11/12-30/32" 17 18 Papini Black/Red Hoody PRICE 22.00 22.00 22.00 22.00 19 20 21

22 23 SIZE Age 6/7-24/26" Age 8/9-26/28" Age 10/11-28/30" Age 12/13-30/32" 24 25 Training Top PRICE 25.00 25.00 25.00 25.00 26 27 28 29 30 31 32 Shower Repellent Jacket SIZE Age 6/7-24/26" Age 8/9-26/28" Age 10/11-28/30" Age 12/13-30/32" PRICE 25.00 25.00 25.00 25.00 33 34 35 36 37 SIZE SY - 26/28 MY - 28-30 LY - 30-32 XS - 32/34 38 39 Mitre Polarize Tracksuit Jacket PRICE 30.00 30.00 30.00 30.00 40 41 42

43 44 SIZE SY - 22/24 MY - 24/26 LY - 26/28 XS - 28/30 45 46 Mitre Polarize Tracksuit Trouser PRICE 17.00 17.00 17.00 17.00 47 48 49 50 51 SIZE One Size 52 Sports Bag PRICE 25.00 PRICE INCLUDES CLUB LOGO AND FIRST NAME OR INITIALS 53 54 55 56 57 0 0 58 SIZE One Size 59 Boot Bag PRICE 15.00 PRICE INCLUDES CLUB LOGO AND FIRST NAME OR INITIALS 60 61 62 63 0 0

64 65 66 67 68 Adult's Items 69 70 71 LV370 Adults piped performance polo SIZE S - 38" M - 40" L - 42" XL - 44" XXL - 46/48" XXXL - 50/52" PRICE 20.00 20.00 20.00 20.00 20.00 20.00 0 0 72 73 74 75 76 SIZE XS - 32" S - 34" M - 36" L - 38/40" XL- 42/44" XXL - 46/48" XXXL - 50/52" 77 78 Papini Black/Red Hoody PRICE 27.00 27.00 27.00 27.00 27.00 27.00 27.00 0 0 0 79 80 81 82 83 SIZE XS - 32" S - 34" M - 36" L - 38/40" XL- 42/44" XXL - 46/48" XXXL - 50/52" 84 85 Papini Zipped Black/Red Hoody PRICE 27.00 27.00 27.00 27.00 27.00 27.00 27.00 0 0 0 86

87 88 89 90 SIZE XS - 32/34 S - 34/36 M - 38/40 L - 42/44 XL- 46 XXL - 48 XXXL - 50 91 92 Training Top PRICE 30.00 30.00 30.00 30.00 30.00 30.00 30.00 93 94 95 96 97 98 99 Shower Repellent Jacket SIZE XS - 32/34 S - 34/36 M - 38/40 L - 42/44 XL- 46 XXL - 48 XXXL - 50 PRICE 30.00 30.00 30.00 30.00 30.00 30.00 30.00 100 101 102 103 104 SIZE S- 34/36 M - 38/40 L - 42-44 XL - 46/48 XXL - 50/52 105 Mitre Polarize Tracksuit Jacket 106 PRICE 36.00 36.00 36.00 36.00 36.00 0 107

108 109 110 111 SIZE S - 30/32 M- 32/34 L - 36/38 XL - 40 XL - 42 112 113 Mitre Polarize Tracksuit Trouser PRICE 19.00 19.00 19.00 19.00 19.00 0 114 115 116 117 Softshell Jacket (Available in 118 Ladies' Red or Black) SIZE 10 12 14 16 18 20 PRICE 37.00 37.00 37.00 37.00 37.00 37.00 0 0 119 120 121 122 123 Men's Softshell 124 Jacket (Available in Black) 125 SIZE S - 37/38 M - 39/40 L - 41/42 XL - 43/44 XXL - 46/48 XXXL - 49/51 PRICE 37.00 37.00 37.00 37.00 37.00 37.00 0 0 126 127 128

129 130 Total Number of Items 0 131 Total To Pay - 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 PARENT/GUARDIAN NAME PARENT/GUARDIAN CONTACT TELEPHONE NUMBER PLAYER NAME & AGE GROUP (IF APPLICABLE) Cheques for the total should be made payable to: 'Keighley Albion' and attached to the completed form. Once form is completed hand it (plus cheque) to the following person for each age group: U7s - Neil Anderson U9s - Sue Raistrick U10s - Miranda Cooney U11s - Katie Scargill/Sue Raistrick U12s - Sam & Jo Blackburn or Rick Emmott U13s - Ian & Rachael Banham or Maxine Hutchinson U14s - Angus & Tracy Green U16s - Andy Hargreaves U17s - Gav Wild ****** IMPORTANT****** PLEASE ENSURE ANY REQUEST FOR NAMES OR INITIALS TO BE ADDED TO ITEMS ARE CLEARLY STATED AND CORRECTLY SPELT AS ITEMS CANNOT BE RETURNED ONCE PERSONALISED BY THE SUPPLIER