| Order Form
Your Name_________________________________________
Address____________________________________________
City_______________________________________________ State_______ Zip___________
Runner's Name______________________________________
School_____________________________________________
Color of cover: Black Gray Maroon Navy Blue (circle one)
Phone: (in case I need to reach you)________________________
E-Mail:_______________________________________________
Please remit $149.99 (includes tax and free shipping)
Send Check or Money Order to: United General Marketing 336 Richfield Ave Syracuse, NY 13205
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