MERCHANDISE ORDER FORM

MERCHANDISE ORDER FORM Items and Prices Effective August 2, 2010 and Are Subject to Change Without Notice BILLING INFORMATION NAME (Club or Individu...
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MERCHANDISE ORDER FORM

Items and Prices Effective August 2, 2010 and Are Subject to Change Without Notice

BILLING INFORMATION NAME (Club or Individual)

US Figure Skating ID#

ADDRESS CITY

STATE

ZIP

DAYTIME PHONE OR EMAIL (We will contact you if we have a question concerning your order.)

SHIPPING INFORMATION (If different from above)

COMMERICAL

RESIDENTIAL

NAME (Club or Individual)

US Figure Skating ID#

ADDRESS CITY

STATE

ZIP

DAYTIME PHONE OR EMAIL (We will contact you if we have a question concerning your order.)

U.S. Figure Skating Accepts Checks, Money Orders, Visa, Mastercard, Discover, and American Express ** U.S. FIGURE SKATING MEMBERS MAY ORDER ONLINE VIA THE MEMBERS ONLY ONLINE STORE** Call, Fax, or E-Mail Your Credit Card Orders to:

Please Make Checks Payable to:

Order Line (719) 228-3419 Order Fax Line (877) 735-4824 [email protected]

U.S. Figure Skating 20 First Street Colorado Springs, CO 80906

Credit Card Number

Exp Date

Name on Card

Sec Code

Signature Order Total (including shipping and tax)

Rev: July 9, 2009

1

U.S. Figure Skating Test Patches Code

Description

Code

Description

PB0201

Pre Preliminary Moves Patch

$2.50

PB1001

Adult Pre Bronze Free Skating Patch

$2.50

PB0202

Preliminary Moves Patch

$2.50

PB1002

Adult Bronze Free Skating Patch

$2.50

PB0203

Pre Juvenile Moves Patch

$2.50

PB1003

Adult Silver Free Skating Patch

$2.50

PB0204

Juvenile Moves Patch

$2.50

PB1004

Adult Gold Free Skating Patch

$2.50

PB0205

Intermediate Moves Patch

$2.50

PB1099

Adult Pre Bronze Dance Patch

$2.50

PB0206

Novice Moves Patch

$2.50

PB1100

Adult Bronze Dance Patch

$2.50

PB0207

Junior Moves Patch

$2.50

PB1101

Adult Pre Silver Dance Patch

$2.50

PB0208

Senior Moves Patch

$2.50

PB1102

Adult Silver Dance Patch

$2.50

PB0301

Pre Preliminary Free Skatng Patch

$2.50

PB1103

Adult Pre Gold Dance Patch

$2.50

PB0302

Preliminary Free Skating Patch

$2.50

PB1104

Adult Gold Dance Patch

$2.50

PB0303

Pre Juvenile Free Skating Patch

$2.50

PB1401

Maters Pre Bronze Dance Patch

$2.50

PB0304

Juvenile Free Skating Patch

$2.50

PB1402

Masters Bronze Dance Patch

$2.50

PB0305

Intermediate Free Skating Patch

$2.50

PB1403

Master Pre Silver Dance Patch

$2.50

PB0306

Novice Free Skating Patch

$2.50

PB1404

Masters Silver Dance Patch

$2.50

PB0307

Junior Free Skating Patch

$2.50

PB1405

Masters Pre Gold Dance Patch

$2.50

PB0308

Senior Free Skating Patch

$2.50

PB1406

Masters Gold Dance Patch

$2.50

PB0400

Pre Juvenile Pairs Patch

$2.50

PB1407

Masters Pre Bronze Free Dance Patch

$2.50

PB0401

Pre Pairs Patch

$2.50

PB1408

Masters Bronze Free Dance Patch

$2.50

PB0402

Juvenile Pairs Patch

$2.50

PB1409

Masters Silver Free Dance Patch

$2.50

PB0403

Intermediate Pairs Patch

$2.50

PB1410

Masters Gold Free Dance Patch

$2.50

PB0404

Novice Pairs Patch

$2.50

PB1413

International Dance Patch

$2.50

PB0405

Junior Pairs Patch

$2.50

PB1415

Masters Solo Pre Bronze Dance Patch

$2.50

PB0406

Senior Pairs Patch

$2.50

PB1416

Masters Solo Bronze Dance Patch

$2.50

PB0501

Pre Dance Patch

$2.50

PB1417

Masters Solo Pre Silver Dance Patch

$2.50

PB0502

Pre Bronze Dance Patch

$2.50

PB1418

Masters Solo Silver Dance Patch

$2.50

PB0503

Bronze Dance Patch

$2.50

PB1419

Masters Solo Pre Gold Dance Patch

$2.50

PB0504

Pre Silver Dance Patch

$2.50

PB1420

Masters Solo Gold Dance Patch

$2.50

PB0505

Silver Dance Patch

$2.50

PB1501

Adult Bronze Pair Patch

$2.50

PB0506

Pre Gold Dance Patch

$2.50

PB1502

Adult Silver Pair Patch

$2.50

PB0507

Gold Dance Patch

$2.50

PB1503

Adult Gold Pair Patch

$2.50

PB0700

Juvenile Free Dance Patch

$2.50

PB1601

Adult Pre Bronze Moves Patch

$2.50

PB0701

Intermediate Free Dance Patch

$2.50

PB1602

Adutl Bronze Moves Patch

$2.50

PB0702

Novice Free Dance Patch

$2.50

PB1603

Adutl Silver Moves Patch

$2.50

PB0703

Junior Free Dance Patch

$2.50

PB1604

Adult Gold Moves Patch

$2.50

PB0704

Senior Free Dance Patch

$2.50

PB1700

Adult Solo Pre Bronze Dance Patch

$2.50

PB0801

Solo Pre Dance Patch

$2.50

PB1701

Adult Solo Bronze Dance Patch

$2.50

PB0802

Solo Pre Bronze Dance Patch

$2.50

PB1702

Adutl Solo Pre Silver Dance Patch

$2.50

PB0803

Solo Bronze Dance Patch

$2.50

PB1703

Adult Solo Silver Dance Patch

$2.50

PB0804

Solo Pre Silver Dance Patch

$2.50

PB1704

Adult Solo Pre Gold Dance Patch

$2.50

PB0805

Solo Silver Dance Patch

$2.50

PB1705

Adult Solo Gold Dance Patch

$2.50

PB0806

Solo Pre Gold Dance Patch

$2.50

PB1706

Adult Pre Bronze Free Dance Patch

$2.50

PB0807

Solo Gold Dance Patch

$2.50

PB1707

Adult Bronze Free Dance Patch

$2.50

PB0901

Adult Bronze Figure Patch

$2.50

PB1708

Adult Silver Free Dance Patch

$2.50

PB0902

Adult Silver Figure Patch

$2.50

PB1709

Adult Gold Free Dance Patch

$2.50

PB0903

Adult Gold Figure Patch

$2.50

PB1710

Adult International Dance Patch

$2.50

PB1711

Masters International Dance Patch

$2.50

PB2001

U.S. Figure Skating Patch

$2.50

Rev: July 9, 2009

Qty

Item Price Item Total

2

Qty

Item Price Item Total

PAGE 2 SUBTOTAL

Rev: July 9, 2009

3

U.S. Figure Skating Test Pins, Bars, and Medals Code

Description

Code

Description

EM0201

Pre Preliminary Moves Pin

$8.00

EM1099

Adult Pre Bronze Dance Pin

$8.00

EM0202

Preliminary Moves Pin

$8.00

EM1100

Adult Bronze Dance Medal

$18.50

EM0203

Pre Juvenile Moves Pin

$8.00

EM1101

Adult Pre Silver Dance Bar

$11.00

EM0204

Juvenile Moves Pin

$8.00

EM1102

Adult Silver Dance Medal

$24.00

EM0205

Intermediate Moves Pin

$8.00

EM1103

Adult Pre Gold Dance Bar

EM0206

Novice Moves Medal

$18.50

EM1104

Adult Gold Dance Medal

EM0207

Junior Moves Medal

$24.00

EM1301

Adult Bronze Free Dance Bar

$11.00

EM0208

Senior Moves Medal

$150.00

EM1302

Adult Silver Free Dance Bar

$15.00

EM0301

Pre Preliminary Free Skatng Pin

$8.00

EM1303

Adult Gold Free Dance Bar

$67.00

EM0302

Preliminary Free Skating Pin

$8.00

EM1401

Master Pre Bronze Dance Pin

$8.00

EM0303

Pre Juvenile Free Skating Pin

$8.00

EM1402

Master Bronze Dance Medal

$18.50

EM0304

Juvenile Free Skating Pin

$8.00

EM1403

Master Pre Silver Dance Bar

$11.00

EM0305

Intermediate Free Skating Pin

$8.00

EM1404

Master Silver Dance Medal

$24.00

EM0306

Novice Free Skating Medal

$18.50

EM1405

Master Pre Gold Dance Bar

$15.00

EM0307

Junior Free Skating Medal

$24.00

EM1406

Master Gold Dance Medal

EM0308

Senior Free Skating Medal

$150.00

EM1407

Master Pre Bronze Free Dance Pin

EM0400

Pre-Juvenile Pairs Pin

$8.00

EM1408

Master Bronze Free Dance Bar

$11.00

EM0401

Pre Pairs Pin

$8.00

EM1409

Master Silver Free Dance Bar

$15.00

EM0402

Juvenile Pairs Pin

$8.00

EM1410

Master Gold Free Dance Bar

EM0403

Intermediate Pairs Pin

$8.00

EM1413

International Dance Gold Medal

EM0404

Novice Pairs Medal

$18.50

EM1415

Master Solo Pre Bronze Dance Pin

$8.00

EM0405

Junior Pairs Medal

$24.00

EM1416

Master Solo Bronze Dance Medal

$18.50

EM0406

Senior Pairs Medal

$150.00

EM1417

Master Solo Pre Silver Dance Bar

$11.00

EM0501

Pre Dance Pin

$8.00

EM1418

Master Solo Silver Dance Medal

$24.00

EM0502

Pre Bronze Dance Pin

$8.00

EM1419

Master Solo Pre Gold Dance Bar

EM0503

Bronze Dance Medal

$18.50

EM1420

Master Solo Gold Dance Medal

EM0504

Pre Silver Dance Bar

$11.00

EM1501

Adult Bronze Pair Medal

$18.50

EM0505

Silver Dance Medal

$24.00

EM1502

Adult Silver Pair Medal

$24.00

EM0506

Pre Gold Dance Bar

$150.00

EM0507

Gold Dance Medal

EM0700

Juvenile Free Dance Pin

EM0701

Intermediate Free Dance Pin

$8.00

EM1603

Adult Silver Moves Medal

$24.00

EM0702

Novice Free Dance Bar

$11.00

EM1604

Adult Gold Moves Medal

$150.00

EM0703

Junior Free Dance Bar

$15.00

EM1700

Adult Solo Pre Bronze Dance Pin

$8.00

EM0704

Senior Free Dance Bar

$67.00

EM1701

Adult Solo Bronze Dance Medal

$18.50

EM0801

Solo Pre Dance Pin

$8.00

EM1702

Adult Solo Pre Silver Dance Bar

$11.00

EM0802

Solo Pre Bronze Dance Pin

$8.00

EM1703

Adult Solo Silver Dance Medal

$24.00

EM0803

Solo Bronze Dance Medal

$18.50

EM1704

Adult Solo Pre Gold Dance Bar

EM0804

Solo Pre Silver Dance Bar

$11.00

EM1705

Adult Solo Gold Dance Medal

EM0805

Solo Silver Dance Medal

$24.00

EM1706

Adult Pre Bronze Free Dance Pin

EM0806

Solo Pre Gold Dance Bar

$15.00

EM1707

Adult Bronze Free Dance Bar

$11.00

EM0807

Solo Gold Dance Medal

$150.00

EM1708

Adult Silver Free Dance Bar

$15.00

EM0901

Adult Bronze Figure Medal

$18.50

EM1709

Adult Gold Free Dance Bar

EM0902

Adult Silver Figure Medal

$24.00

EM1710

Adult International Dance Medal

$150.00

EM0903

Adult Gold Figure Medal

$150.00

EM1711

Master International Dance Medal

$150.00

EM1001

Adult Pre Bronze Free Skating Bar

$11.00

GS2201

U.S. Figure Skating logo pin

EM1002

Adult Bronze Free Skating Medal

$18.50

Rev: July 9, 2009

Qty

Item Price Item Total

Qty

Item Price Item Total

$15.00 $150.00

$150.00 $8.00

$67.00 $150.00

$15.00 $150.00

$15.00

EM1503

Adult Gold Pair Medal

$150.00

EM1601

Adult Pre Bronze Moves Bar

$11.00

$8.00

EM1602

Adult Bronze Moves Medal

$18.50

4

$15.00 $150.00 $8.00

$67.00

$8.00

EM1003

Adult Silver Free Skating Medal

$24.00

EM1004

Adult Gold Free Skating Medal

$150.00

PAGE 3 SUBTOTAL

Rev: July 9, 2009

5

Manuals and Miscellaneous Items Qty

Description

Code

Item Price

MN2406

I.S.U Constitution & General Regulations

$21.50

MN2409

I.S.U Special Regulations - Synchronized Team

$21.50

MN2413

I.S.U. Judges Handbook - Pairs Skating

$21.50

MN2414

I.S.U. Judges Handbook - Singles

$21.50

MN2415

I.S.U. Judges Handbook - Ice Dancing

$21.50

MN2416

I.S.U. Synchronized Skating Judges Handbook

$21.50

MN2419

I.S.U. Synchronized Skating Coaches Beginner Manual

Price Total

$8.00

MN2425

$21.50

I.S.U. Special Regulations - Single, Pairs, and Ice Dance

MN2424

Synchro Fact Sheets (pkg of 15)

MN2420

U.S. Figure Skating Synchronized Skating Media Guide (pkg of 10)

MN2421

"50 Years of Synchronized Skating" poster

MN2422

Complete Guide to Figure Skating brochure

MN2412

U.S. Figure Skating Media Guide

$35.00

VT2304

Ice Dance Music CD - 32 Dances for testing (all levels Pre Dance through International)

$20.00

VT2305

Ice Dance CD - Compulsory Dance Low Level (Pre Dance through Bronze)

$20.00

$5.00 $20.00 $6.00 N/C

No Limit

The Skating Parents' Survival Guide Code

Qty

Description

BS2028

Volume 1 - Your Responsibility as a Skating Parent

BS2029

Volume 2 - Keeping it in Perspective

BS2030

Volume 3 - Support Your Child to Reach Maximum Potential Total quantity for all three volumes PRICE BREAK FOR SURVIVAL GUIDES LISTED ABOVE ARE AS FOLLOWS:

BS2031

PRICE EACH

Quantity 1-50

$2.00

Quantity 51-149

$1.50

Quantity 150 plus

$1.00

Full Set - 1 each of Volume 1, 2, and 3

0 TOTAL QTY

PRICE TOTAL

$5.00

U.S. Figure Skating Logo Items Code

Qty

Description

Item Price

LI0101

Banner - "Proud Member of U.S. Figure Skating" 3' x 5'

LI0103

Stickers (100 per pack) - 2 1/2" x 1"

$5.50

LI0104

Pencils (25 per pack) - Mix of blue with white logo and red with white logo

$7.50

LI0105

Tattoos (25 per pack) - 2 1/2" x 1 1/2"

LI0201

Promotional Package - Includes the following

LI1001

$55.00

$5.00 $55.00

1 Banner

1 Pkg Stickers

1 Pkg Tattoos

1 Pkg Pencils

10% Discount on Logo Item order above $50.00 (Logo Items ONLY - discount does not apply to any other merchandise)

PAGE 4 SUBTOTAL

Rev: July 9, 2009

6

Price Total

Synchronized Skating Merchandise Code

Qty

Description

MN2419

ISU Synchronized Skating Coaches Beginner Manual

MN2420

U.S. Synchronized Skating Media Guide (pkg of 10)

MN2421

"50 Years of Synchornized Skating" poster

MN2423

Synchro Sponsorship Kit

Item Price

Price Total

$8.00 $20.00 $6.00 $30.00

Sponsorship Kit Includes: "How to Pitch Your Team to the Media" Guide - Sponsor Packet - Sample Press Release - CD Rom of Documents - 10 Media Guides - 10 Fact Sheets

MN2424

$8.00

Synchro Fact Sheet (pkg of 15)

SKATING Magazine Single/Back Issues Month/ Year

JAN

FEB

MAR

APRIL

MAY

JUNE/JULY

AUG/SEPT

OCT

NOV

DEC

Qty

Item Price

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Shaded Areas are Unavailable

Description

Code

SKATING magazine single/back issues - please indicate the quanity needed for each issue in the appropriate SKBACK box(s) above

$3.00

PAGE 5 SUBTOTAL

Items and Prices Effective July 9, 2009 and Are Subject To Change Without Notice SHIPPING FEES $0 - $10= $10.01 - $25= $25.01 - $50= $50.01 - $75= $75.01 - $100= $100.01 - $150=

$4.00 $7.50 $10.50 $12.00 $13.50 $14.50

$17.50 $150.01 - $200= $19.50 $200.01 - $250= $22.50 $250.01 - $300= $300.01 - $400= $24.00 $400.01 - $500= $27.50 Add $3 for each $100 over $500

SUBTOTAL (From all pages) SALES TAX (CO residents only) SHIPPING TOTAL

*** Rates for shipping outside the continental US may be higher ***

RUSH ORDER FEES (In addition to shipping fee listed above) Rush orders must be received by 2pm MT to be processed same day Does NOT include Saturday delivery 2-Day delivery= $10

Overnight delivery= $15

SALES TAX *** Residents of CO must pay one of the following tax rates *** City of Colorado Springs 7.40% El Paso County 4.90% Colorado State 3.90%

Rev: July 9, 2009

7

Price Total