SoccerSavings.com - Soccer Savings
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Secure Order Form

This form is for customized and special orders only.

This Form contains neither pricing nor shipping information and no automatic confirmation is sent to the customer. Once the Form is received in the Custom Orders Section, confirmation will be emailed back to the customer. Confirmation back to the customer may require several days as in the case of orders received over the weekend. No order will be placed for the customer until the Custom Orders Section sends this confirmation email to the customer and the customer responds with an authorization to place the order. Once the customer authorizes an order to be placed, the Custom Orders Section will manually process the order.

For inquiries, please call: (866) 919-5050
or send an email to: customclubs@tgw.com.

The red triangle "required.gif" indicates a required Field.

required.gif First Name:
required.gif Last Name:
required.gif Day Phone:

Evening Phone: 
required.gif E-mail Address: 
Billing Address
(this address must match the address your Credit Card is billed to)


Company:
(if applicable)
Address Line 1:

Address Line 2:
City:
State/Province:
ZIP/Postal Code: 

Country:
Shipping Address (if different from Billing Address)


First Name:

Last Name:

Company:
(if applicable)

Address Line 1:

Address Line 2:

City:

State/Province:

ZIP/Postal Code: 

Country:

Phone:

Clubs Description Box

Gift Certificate or Store Credit Information

Note: If gift certificates or store credit is to be applied to this order, please provide the corresponding information in the box below. Otherwise, please provide your credit card information.

Gift Certificate/Store Credit Box

Credit Information

required.gif Type:
required.gif Name as it appears on Card: 
required.gif Credit Card Number:
required.gif Expiration: /
required.gif Verification Text
Please type this text in the box: dfaa
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