Scott CLOTHING Page 1
CASUAL CLOTHING, BAGS, AND SUNGLASSES ORDER FORM
SCOTT USA ORDER FORM: VALID 09/01/03-09/01/04 MOTO CROSS "PRO PRICE LIST"
P.O. BOX 2030 SUN VALLEY, ID 83353 (208) 622 1000
Name:
Phone:
Shipping address: (no p.o. boxes)
* THIS PROGRAM IS NOT VAILD WITH ANY CONTINGENCY CERTIFICATES *
CLOTHING
MODEL ITEM
#
COLOR
SML
MED
LRG
XLG
XXL
QTY
PRICE TOTAL
ICON TEAM JACKET
090590 0
GREY
49.00
TRANSITION HOODY 090843 0
BLACK
29.00
RED
29.00
SCRAWL
090840 0
BLACK/ RED
12.00
CHARCOAL
12.00
FOOT SOLDIER
090842 0
COFFEE
12.00
NAVY
12.00
BANNER SHIRT
090841 0
BLACK/WHITE
12.00
RED
12.00
FLOWER CHICK "T"
090581 0
RAG
12.00
SHIRT
RED
12.00
HATS
MODEL ITEM
#
COLOR
SML-MED
LRG-XL
QTY
PRICE
TOTAL
BANNER HAT
090487 0
BLACK
15.00
SHELTER BEANIE
090845 0
BLACK
9.00
NAVY
9.00
BAGS
MODEL ITEM
#
COLOR
QTY
PRICE TOTAL
GEARBAG
090284 0
BLACK
59.00
SP 20 RACE PACK
090830 0
BLACK
35.00
URBAN BACKPACK
090831 0
BLACK
35.00
LADIES PACK
090832 0
BLUE
15.00
SUNGLASSES
MODEL
BLK
BLU
WHT
DEMI SIL
MOC
KWI
VLT
ZEB
BRN
OLV
QTY
PRICE TOTAL
TICKET
34.00
JUKE
34.00
CADDY
34.00
CHOPSTICK
34.00
LOCKER
34.00
COSMOS
34.00
VECTRA RACE KIT
76.00
PAYMENT ACCEPTED IN THE FORM OF A CHECK, MONEY ORDER, OR MASTERCARD/VISA
TOTAL AMOUNT ON ORDER FORM
$
SHIPPING AND HANDLING
8.00
TOTAL AMOUNT DUE
Credit card information:
(Print)
(Signature)
(CIRCLE ONE)
Mastercard/ Visa /American Express
CC EXP. DATE
