Pom Pon Printable Order Form
Phone 1.877.423.2005 or Fax 1.440.239.7825
95 Karl Street
Cleveland, Ohio 44017
| Click here to print this page | If you need to order items other than poms, click here. |
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Pom Pon Printable Order Form
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Phone 1.877.423.2005 or Fax 1.440.239.7825
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95 Karl Street
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Cleveland, Ohio 44017
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| First Name ______________________________ | |
| Last Name ______________________________ | |
| Email Address ___________________________ | |
| Street Address __________________________________________ | |
| City _____________________________ | |
| State or Province __________________ | |
| Zip or Postal Code _________________ | |
| Phone Number ____________________ | |
| School or Organization ________________________________ | |
| Position or Title ______________________________________ | |
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Pom Pons (Remember to order poms in singles NOT
pairs)
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| Style | Color 1 | Color 2 | Color 3 |
| Solid (one color) | Black | None | None |
| Solid w/glitter | Blue-Columbia | Black | Black |
| Mixed 2 color | Blue-Navy | Blue-Columbia | Blue-Columbia |
| Mixed 2 color w/glitter | Blue-Royal | Blue-Navy | Blue-Navy |
| Mixed 3 color | Brown | Blue-Royal | Blue-Royal |
| Bullseye 2 color | Gold-Bright Gold | Brown | Brown |
| Bullseye 3 color | Gold-Old Gold | Gold-Bright Gold | Gold-Bright Gold |
| Target | Gray | Gold-Old Gold | Gold-Old Gold |
| Half-N-Half | Green-Forest/Dark | Gray | Gray |
| Rooter (500 streamers) | Green-Kelly | Green-Forest/Dark | Green-Forest/Dark |
| Rooter (750 streamers) | Maroon | Green-Kelly | Green-Kelly |
| Other | Orange | Maroon | Maroon |
| Orange-Denver | Orange | Orange | |
| Orange-Tennessee | Orange-Denver | Orange-Denver | |
| Orange-Texas | Orange-Tennessee | Orange-Tennessee | |
| Purple-Dark | Orange-Texas | Orange-Texas | |
| Purple-Light | Purple-Dark | Purple-Dark | |
| Red-Cardinal Red | Purple-Light | Purple-Light | |
| Red-Crimson Red | Red-Cardinal Red | Red-Cardinal Red | |
| Red-Scarlet Red | Red-Crimson Red | Red-Crimson Red | |
| White | Red-Scarlet Red | Red-Scarlet Red | |
| Metallic Black | White | White | |
| Metallic Dark Green | Metallic Black | Metallic Black | |
| Metallic Gold | Metallic Dark Green | Metallic Dark Green | |
| Metallic Irredescent | Metallic Gold | Metallic Gold | |
| Metallic Kelly Green | Metallic Irredescent | Metallic Irredescent | |
| Metallic Maroon | Metallic Kelly Green | Metallic Kelly Green | |
| Metallic Navy Blue | Metallic Maroon | Metallic Maroon | |
| Metallic Orange | Metallic Navy Blue | Metallic Navy Blue | |
| Metallic Purple | Metallic Orange | Metallic Orange | |
| Metallic Red | Metallic Purple | Metallic Purple | |
| Metallic Royal Blue | Metallic Red | Metallic Red | |
| Metallic Silver | Metallic Royal Blue | Metallic Royal Blue | |
| Metallic Teal | Metallic Silver | Metallic Silver | |
| Metallic Teal | Metallic Teal | ||
| Black Glitter | Black Glitter | ||
| Silver Glitter | Silver Glitter | ||
| Gold Glitter | Gold Glitter | ||
| Red Glitter | Red Glitter | ||
| Teal Glitter | Teal Glitter | ||
| Royal Blue Glitter | Royal Blue Glitter | ||
| Purple Glitter | Purple Glitter | ||
| Orange Glitter | Orange Glitter | ||
| Maroon Glitter | Maroon Glitter | ||
| Kelly Green Glitter | Kelly Green Glitter | ||
| Irredescent Glitter | Irredescent Glitter | ||
| Dark Green Glitter | Dark Green Glitter | ||
| Handle Style | Streamer Length | Streamer Width | Quanity |
| None | 4" | 3/4" | 2-100 |
| Baton | 6" | 7/16" | __________________ |
| Kap | 8" | 7/16" (Rooter) | 200 |
| Standard | 10" | 500 | |
| Standard Elastic | 12" | 1000 | |
| Block | 15" | 2500 | |
| 12" Stick (Rooter Only) | 12" (Rooter) | 5000 | |
| Tab Handle (Rooter Only) | 10000 | ||
| Additional Ordering Information (Please use area below to describe specific style, item customization or any additional information) |
| __________________________________________________________________________ |
| __________________________________________________________________________ |
| __________________________________________________________________________ |
| __________________________________________________________________________ |
| Shipping Rates For United States Orders Only (Please Select One) SEE OUR SHIPPING RATES HERE |
| 1. Ground (3-5 days) |
| 2. 2nd Day Air |
| 3. Next Day |
| All prices are in US dollars and we only accept payment in US dollars. Total your purchase (Ohio residents add 7% sales tax) and add shipping. |
| Sub-Total | _______________________________ |
| OH Residents add 7% Sales Tax | _______________________________ |
| Shipping | _______________________________ |
| Total Order | _______________________________ |
| Payment Type (select one): | Credit Card | Check | Money Order | Cashiers Check |
| Credit Card Type (if applicable): | Amex | Visa | Mastercard | Discover |
| Card Holder Name: _____________________________ (as printed on card) | ||||
| Credit Card Number: _____________________________ | ||||
| Expiration Date: ________________________________ | ||||
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Copyright © 2002 DiscountCheerleading.com All Rights
Reserved.
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