Online Order Form

DELIVERY and ORDER INFORMATION:

Complete the form with all billing and shipping information.

Merchandise Order         OR          Merchandise Stock Request

Name
Address
City/Town
Province/State
Postal Code/Zip Code
Country
Home Phone
Business Phone
Fax
Email
Items

Logo T-Shirt(s) $12.00 each  

Size  (Select all desired sizes):                                   Small Medium Large Extra Large Double Extra Large

Available colors White & Grey

"Compete" T-Shirt(s) $14.00 each

Size  (Select all desired sizes):                                   Small Medium Large Extra Large Double Extra Large

Available colors White & Grey

 The Goalie Academy On-Ice Drill Book                              $24.99 plus shipping (USPS $5.00)

   Logo Cap             $16.00 (Adjustable, one size fits all)

   Mini Puck             $1.50

   White Puck           $1.75

   Logo Puck            $3.00

   Light Weight puck $1.75

   Weighted Puck (Orange) ($2.00)
Billing Worksheet :

(Please Write In)

Quantity:               Drill Book  at $24.99                       =    

Quantity:               Logo T-Shirts  at $12.00                  =    

Quantity:              "Compete" T-Shirts  at $14.00          =     

Quantity               Logo Cap at $15.00                         =     

Quantity Pucks:    Goalie Academy Logo  at $3.00          =   

                            Mini Pucks  at $1.50                           =   

                            White Pucks  at $1.75                         =   

                            Light Weight Pucks  at $1.75              =   

                            Weighted Pucks  at $2.00                   =       

+   Shipping and Handling  Select S & H Value

(Shipping of 20 pucks $8.50 flat rate USPS.  Call for all other S&H rates)

       (Credit Card purchases only) 5% Convenience Fee =    

                              (VA Residents Only) 5% Sales Tax =     

                                                                      TOTAL  =    

Send a check (made payable to Goalie Academy) or money order in the amount of your total to:  

Goalie Academy, 45524 Grand Central Square, Sterling, VA 20166

OR Call 571-434-7466 to pay by credit card                 

Note: A convenience fee of 5% will be charged to all credit card transactions

Your merchandise will be sent to you upon receipt of your payment.  If payment is not received within 15 days of placing the order, the order will be void.

Please allow a few weeks for delivery.

Request for an Item not Currently Available (write in below)  

 

 

 
If you have any further questions or concerns please contact us via email at Goalie_Academy@hockeymail.com.