Bell County FC

UPSL - Texas North - Premier Division

Harmonia et Superbia - Harmony and Pride

Fan Gear Order Form

Please fill out below the quantity of each item needed as well as the sizes needed. Afterwards, please proceed to payment via the online store's PayPal or CashApp $bellcofc.

Any questions, please email bellcountyfc@gmail.com for assistance.

Fan Gear Order Form

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	<fields>
		<field type="text" required="true" label="Name" subtype="text" class="form-control" name="name"></field>
		<field type="text" required="true" label="Phone Number" subtype="text" class="form-control" name="phone-number"></field>
		<field type="text" required="true" label="Shipping Address" subtype="text" class="form-control" name="shipping-address"></field>
		<field type="text" required="true" label="Email Address" subtype="text" class="form-control" name="email-address"></field>
		<field type="textarea" label="Home Jersey Quantity and Sizes (Indicate How Many of Each Size S  M  L  XL  or Custom Size)" class="form-control" name="home-jersey-quantity-and-sizes-indicate-how-many-of-each-size-s-m-l-xl-or-custom-size"></field>
		<field type="textarea" label="Away Jersey Quantity and Sizes (Indicate How Many of Each Size S  M  L  XL  or Custom Size)" class="form-control" name="away-jersey-quantity-and-sizes-indicate-how-many-of-each-size-s--m-l-xl-or-custom-size"></field>
		<field type="textarea" label="Pregame Training Top Quantity and Sizes (Indicate How Many of Each Size S  M  L  XL  or Custom Size)" class="form-control" name="pregame-training-top-quantity-and-sizes-indicate-how-many-of-each-size-s--m-l-xl-or-custom-size"></field>
		<field type="text" label="Quantity of Magnets" subtype="text" class="form-control" name="quantity-of-magnets"></field>
		<field type="text" label="Quantity of Stickers" subtype="text" class="form-control" name="quantity-of-stickers"></field>
		<field type="text" label="Quantity of Wristbands" subtype="text" class="form-control" name="quantity-of-wristbands"></field>
		<field type="text" label="Please List The Name Below If A BCFC Player/Member Assisted You" subtype="text" class="form-control" name="please-list-the-name-below-if-a-bcfc-playermember-assisted-you"></field>
	</fields>
</form-template>