Gomez Wrestling Academy

Please complete form below and submit to order singlets.   Frances or Hector Gomez will contact you with details regarding payment and product pick up.  Thank you.  GWA

Please provide the following information:

Parents Name
Wrestler's Name
Phone Number
E-mail Address

Please provide the following ordering information:

Available Sizes:  YS, YM, YL, AS, AM, AL, AXL

QTY	DESCRIPTION	SIZE	If ordering more than one singlet of the same type, please specify each size needed. Thank you.
	White/Black Freestyle-Greco Singlet
	Black/Silver Freestyle-Greco Singlet
	Red Freestyle-Greco Singlet
	Blue Freestyle-Greco Singlet
Cost per singlet is $65.00
Total Quantity Ordered     x  $65.00 Total Cost Due $

Enter Order Date:

-- mm/dd/yy

Any questions or comments?

Frances or Hector Gomez will contact you with details regarding payment and product pick up.