2024 ORDER FORM ORDER #

Francis Cazabon
Customer Name Today’s Date 11/3/2024

Santos Liming Club

Team Name Collection Date
376-6400 Frank.Cazabon@gmail.com
Contact Info ANSA Employee

PLEASE FILL OUT APPROPRIATELY

JERSEY SPECIFICATIONS SPORT / ACTIVITY

Football

Semi V
Long Sleeve Short Sleeve Vest NECK TYPE

JERSEY DESIGN & PRINTS DESIGN CHOSEN

Santos logo
Left Pocket Print

Right Pocket Print

Chest Print Number of player

Left Sleeve Print

Right Sleeve Print

Collar Print

Name of Player
Upper Back Print
Number of Player
Mid Back Print

Lower Back Print

Other Design Info

PANTS SPECIFICATIONS
PANTS DESIGN & PRINTS
Long Pants Pockets
Short Pants X No Pockets Left Side Strip
Joggers
Right Side Strip

SEWING SPECIFICATIONS *GOALKEEPER*

Neck Type
Neck Colour
Neck Colour
Cuff Colour
Cuff Colour
Pants Colour
Pants Colour
 2024 ORDER FORM ORDER #
PRINT LIST & SIZING PLEASE FILL OUT APPROPRIATELY (USE CAPITAL LETTERS)

Number Jersey Sleeve Cut Pants

No. Name To Print
To Print Size Long / Short M/F Size

1 ELIJAH 29 S Short M S
2 SPARROW 30 4XL Long M L

3 DRAYTON 31 L Short M XL
4 GABRIEL 43 2XL Short M L

5 MAKAI 44 S Short M S

6 ADRIANO 47 L Short M M

7 SHAWN 50 XL Short M L
8 RAY 61 2XL Short M L
9 MELCHIZEDEK 66 2XL Long M XL
10 KEMPS 77 XL Short M M
11 FATZ 88 L Long M L
12 CHAD 100 XL Short M L
13 SANTOS 32 M Short M M
14 SANTOS 33 L Short M L

15 SANTOS L L
34 Short M
16 SANTOS 35 XL Short M XL
17 SANTOS 36 2XL Short M 2XL

18

19
20
21
22
23
24
25
26
27
28
29

30

Size 4 6 8 10 12 XS S M L XL 2XL 3XL 4XL 5XL 6XL 7XL

QUANTITY BREAKDOWN

Total Amount
Total Jerseys
Long Sleeve 1 1 1
17
Short Sleeve 2 1 4 5 2
Vest
Male Cut 2 1 5 5 3 1
Female Cut Total Pants
Long Pants 17

Short Pants 2 3 8 3 1
 2024 ORDER FORM ORDER #

PAYMENT INFORMATION

Total Cost Type Of Payment

Amount Paid Date Of Payment

Balance Due Receipt Number

PRICE BREAKDOWN

FOR OFFICIAL USE ONLY

Designer Signature Date Designed

Printer Signature Date Set Up

Printer Used Date Printed

DISCLAIMER

The Buyer acknowledges and agrees that when The Buyer confirms the clothing that has been shown to and
inspected by The Buyer electronically and / or otherwise, ANSA SPORTS LTD will bear no liability
and / or responsibility for the following -

Spelling Errors due to Bad Handwriting

Size of Clothing
Errors on the Artwork and / or Design
Quality of the Artwork and / or Design sent by The Buyer

13/3/2024
Date
Francis Cazabon
Name
Signature