Complete & Place Into Box
Important: International shipments, please call for an authorization number. International shipments without an authorization number will be subject to additional fees.
Contact Name, Phone, Email:
School Address, City St, Zip:
Paying by Check? Head Coach, A.D. or Booster President Name:
Responsible Party Phone & EMail:
Bill to Address:
Paying by Credit Card? Complete this section & a technician will contact you when work is completed.
Phone & Email:
Game Date – Home or Away?
Fedex & UPS preferred to: Porta Phone – 145 Dean Knauss Drive, Narragansett, RI 02882 USA