Long Island Aquatic Club 2007-2008  EQUIPMENT/APPAREL ORDER FORM
Swimmer's Name			Phone
	(last)                                  (First)
	All items to be embroidered will be with the last name of the athlete
ITEM #	ITEM STYLE	SIZE /NAME	PRICE	QUANTITY	TOTAL
1	Female youth Team solid lycra w/logo     Size 22-28		$43.00
2	Female adult Team solid lycra w/logo      Size 30-40		$46.50
3	Female Aquablade w/logo                          Size 20-38		$68.00
4	Female FSII Recordbreaker                       Size 22-38		$145.00
5	Male mesh drag suit    w/LIAC on butt      Size 26 - 38		$27.00
6	Male youth lycra Team solid Jammer        Size 22-28		$27.00
7	Male adult lycra Team solid Jammer         Size 30-38		$29.00
8	Male Aquablade Racer                                 Size 20-36		$42.00
9	Male Aquablade Jammer                            Size 22-36		$58.00
10	Male FSII Jammer                                        Size 22-38		$140.00
11	Male FSII Leggin                                            Size 22-38		$185.00
12	Team Latex Cap		$4.00
13	Team Silicone Cap		$13.00
14	Team Short Sleeve T-Shirt  Youth med or Lrg Red/White/Blue		$9.00
15	Team Short Sleeve T-Shirt     Adult S-XXL Red/White/Blue		$9.00
16	Team Short Sleeve Developing Champions  YM-AXXL Blue		$15.00
17	Team Long Sleeve T-Shirt  Youth Med or Lrg Red/White/Blue		$15.00
18	Team Long Sleeve T-Shirt      Adult S-XXL Red/White/Blue		$15.00
19	Team Golf Shirt w/logo Adult S-XL Red/White/Blue		$24.00
20
21	Team Shorts  (w/logo)                        Adult Men or Women XS-XL		$30.00
22	Team Warm-up Jacket        Adult XS - Adult XXL         (Embroidered logo w/name)		$71.00
23	Team Warm-up Pants         Adult XS -AdultXXL		$50.00
24	Team Warm-up Jacket        Youth S-L                                (Embroidered logo w/name)		$57.00
25	Team Warm-up Pants        Youth S-L		$43.00
26	Team Backpack   (embroidered logo w/name) navy/red/white		$62.00
27	Team Mini Backpack (embroidered logo w/name) navy/red/white		$42.00
28	Team Navy Hooded Sweatshirt           Adult S-XL            (Embroidered logo w/name)               Youth Med-Large		$35.00
29	Team Navy Sweatpants                    Youth L - Adult XL		$19.00
30	Team Zip Navy Fleece Jacket   Youth S-L, Adult XS-XL                             (Embroidered logo w/name)		$53.00
31	Team Windjacket with Long Island Swimming on back  Youth Med-XL, Adult XS-XXL		$95.00
32	Team  Parka                          Adult XS-XL              (Embroidered w/name)		$145.00
33	Hydralign Goggle		$15.00
34	Fins:                                                            Children 9-11, 11-13, Adult 1-3, 3-5, 5-7, 7-9, 9-11, 11-13, 14-15		$22.00
35	Mesh Equipment Bag		$10.00
36	Kickboards		$11.00
37	Pull Bouy		$12.00
38	Paddles		$18.50
39	Ankle Strap		$8.00
Cash $                                       Check #
				(#ITEMS)	(AMOUNT)
	All checks payable to Hobieswim
Received
	(ITEM NUMBERS)                        (DATE)	(SIGNATURE)