NY Rise Jersey Reservation Order Request Form
Get your jersey before we run out!!!

After you fill out this order request, we can customize jerseys for pickup and payment at an upcoming home or away game.  

Please contact us at info@thenewyorkrise.com for any questions. 

Custom replica jerseys are $85.
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Your Name *
Which replica jersey would you like to order? *
Which player jersey or custom option *
Choose size and number per color
If you selected "Your Name / Number " on Jersey, what number and name would you like on the back?
Jersey Size *
Pickup Date  *
If you selected the Other Option (Shipping), please provide details on the shipping address.
Your E-mail *
Your Phone  *
Preferred contact method *
Required
Any other questions and comments.
Submit
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This form was created inside of New York Rise.