HELMETS

CASCADE ORDER FORM

*This form is for 3 helmets or less. Please call for larger orders. Refer to CASCADELACROSSE.COM to see colors. There is a $40.00 MINIMUM restocking/ refitting charge if you want to change the helmet after you receive it (SO BE SURE YOU GET IT RIGHT THE FIRST TIME.) Shipping prices are for 1 helmet. Add $4.00 each to shipping total for 2-3 helmets. Order form must be either faxed to (203)775-4025 or attached to an email sent to arcsports@arccloseouts.com. It is recommended that you call to confirm receipt of your order after you have sent it.

PO#	_________________________________	DATE	______________
NAME	_________________________________	SHIP VIA:	GROUND $15.00	2 DAY $28.00
PHONE	_________________________________		NEXT DAY $58.00	3 DAY $22.00
SHIP TO	_________________________________		Orders generally ship 2-3 days after being placed.
	_________________________________	CONTACT NAME	________________________
	_________________________________	SIGNATURE	________________________

HELMET MODEL CODES
CODE	CPX	CPXTi	CXC	CPRO	CPTi	CPCL	CPL	CPC	CLH2	CS
MODEL	CPX	CPX TITANIUM	CPX CHROME	CPRO	CPRO TITANIUM	CHROME/ LEXAN CPRO	CPRO LEXAN	CPRO CHROME	CLH 2	CS

HELMETS

COLOR

SIZE

HELMET CODE

VISOR

SHELL

CHIN PIECE

3XS

2XS

S/M

L/XL

OSFA

QTY

PRICE

CREDIT CARD#	_______________________	HELP US BETTER SERVE YOU.
EXP. DATE	_______________________	How did you hear about us?	_______________________
NAME ON CARD	_______________________	Your team contact (coach): Name	_______________________
BILLING ADDRESS	_______________________	Your team contact: Phone #	_______________________
	_______________________	Your team contact: email	_______________________
	_______________________		_______________________

SENDING YOUR ORDER

EMAIL: Copy this page to Microsoft Word or similar program, fill it out, attach to an email and send to arcsports@arccloseouts.com

FAX: Print the form, fill out and fax to: 203-775-4025