VILLA 2017 STATE FIELD HOCKEY RINGS
Some of the items will be completed at Villa on order day such as size.
PLEASE COMPLETE AS MUCH AS POSSIBLE BEFORE ORDER DAY
Player First Name *
Your answer
Player Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone NUMBER *
Please provide your cell NUMBER AND the PROVIDER you have cell SERVICE with (eg. ATT, SPRINT etc.)
Your answer
Finger Size
will be completed on order day
Your answer
Billing email address *
Parents email
Your answer
Metal Choice
Tax rate is 9.113%
NAME ON THE SIDE OF THE RING *
Usually your first or last name (8 characters max)
Your answer
Player Jersey Number (2 numerals max) *
Your answer
ENGRAVING ON INSIDE OF THE RING *
Your name in our cursive
Your answer
Payment Choices *
Payment Information *
Check #
Your answer
Name on Credit Card
Your answer
Credit Card Number
All card records will be destroyed after processing
Your answer
Credit Card Expiration Date
Your answer
CVV Code
3 digits on the back of the card
Your answer
Submit
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