ADULTS
2015-2016 Purchase and Rental Gear Form
Name:
Trip Dates:
Address:
Estimated time of arrival in Ely:
City, State, ZIP:
Transportation:
Email:
Type of Overnight Trip:
Home Phone:
Cell Phone:
Driving
Flying
Camping
Cab
Lodge Based
IMPORTANT! In order for us to determine the optimal fit, please provide the following:
Height:
___ Weight: ____ Pant Size: ____ Jacket Size: ______ Shoe Size:
ITEMS FOR RENT (per trip)
Item Description
Boots (subject to availability)
Mn’s Shell Anorak
Wm’s Shell Anorak
Mn’s Fleece Anorak
Wm’s Fleece Anorak
Mn’s Shell Pant
Wm’s Shell Pant
Mn’s Fleece Pant
Wm’s Fleece Pant
Circle Estimated Size
Qty
Enter mens/wmns whole sizes:
S
XS S
S
XS S
M
M
M
M
L
L
L
L
XL
XL
XL
XL
XXL
XXL
XXL
XXL
28 30 32 34 36 38 40 42 44
4 6 8 10 12 14 16 18 20
28 30 32 34 36 38 40 42 44
4 6 8 10 12 14 16 18 20
Single
Multi
day trip
day trip
Rental Fees
$10
$25
$20
$45
$20
$45
$15
$40
$15
$40
$10
$20
$10
$20
$10
$20
$10
$20
_
Total
*Rent Full Package at a discount (1 Fleece Anorak, 1 Shell Anorak, 1 Fleece Pant, 1 Shell Pant, Boots):
Take off $15 for Multi-day trip (Discounted total: $135) or $5 for Day trip (Discounted total: $60) Rental Total
ITEMS FOR PURCHASE– For camping trips we recommend two pairs of liner gloves and socks.
Item Description
Color
Sizes
Qty
Price
$32
$32
$32
$32
$11
$10
$13
XL
$69
XL
$66
*Purchase Full Package(1 Top & Bottom, 1 Liner Socks, 1 Hvywt. Socks, 1 Liner Gloves, 1 Mitts, 1 Hat):
Full package discount: Take $15 off regular price total (Discounted total: $218)
Purchase Total
Men’s Long Underwear Top
Men’s Long Underwear Bottom
Women’s Long Underwear Top
Women’s Long Underwear Bottom
Liner Socks
Insulating Socks (Heavyweight)
Liner Gloves
Mittens
Expedition Shell Hat
Black
Black
Black
Black
Asst.
Grey
Asst.
Asst.
Asst.
S M
S M
S M
S M
M
S M
S M
S M
S M
L
L
L
L
L
L
L
L
L
Total
XL
XL
XL
XL
XL
XL
Pick-Up and Pay for Items:
Phone: (218) 365-6602
WintergreenNorthernWear.com
205 E Sheridan St. Ely, MN 55731
Made with Pride in Ely, MN
Winter Store Hours: Dec 15-Apr 1
Mon.-Fri. 9am-7pm (Wed. until 9pm)
Sat. 9am-5pm, Sun. 9am-4pm
KIDS
2015-2016 Purchase and Rental Gear Form
Name:
Trip Dates:
Parent/Guardian:
Estimated time of arrival in Ely:
Address:
Transportation:
City:
Type of Overnight Trip:
State:
Zip:
Driving
Flying
Camping
Cab
Lodge Based
Cell phone:
Home Phone:
IMPORTANT! In order for us to determine the optimal fit, please provide the following:
Age: ______ Current Youth clothing size: ____ Height: ____ Weight:
ITEMS FOR RENT (per trip)
Item Description
Boots (subject to availability)
Shell Anorak
Fleece Anorak
Shell Pant
Fleece Pant
Circle Estimated Size
Qty
Enter age/size:
3/4
3/4
3/4
3/4
5/6
5/6
5/6
5/6
7/8
7/8
7/8
7/8
9/10
9/10
9/10
9/10
11/12
11/12
11/12
11/12
Shoe Size:
Single
Multi
day trip
day trip
Rental Fees
$10
$15
$10
$25
$10
$25
$10
$15
$10
$15
*Rent Full Package (1 Fleece Anorak, 1 Shell Anorak, 1 Fleece Pant, 1 Shell Pant, Boots):
Take off $15 for Multi-day trip (Discounted total: $80) or $5 for Day trip (Discounted total: $45)
Total
Rental Total
ITEMS FOR PURCHASE– For camping trips we recommend two pairs of liner gloves and socks.
Item Description
Color
Available Sizes
Qty
Price
Total
Youth Long Underwear Top
Black
XS S M L
$20
Youth Long Underwear Bottom
Black
XS S M L
$20
Insulating Socks
Asst.
YS YM
$11
Liner Socks
White
YL YXL
$6
Mittens
Asst.
S M L XL
$59
Expedition Shell Hat
Asst.
S M L XL
$45
*Purchase Full Package (1 Base-Layer Top & Bottom, 1 pr. Liner Socks, 1 pr. Insulating Sock, 1 pr. Mittens, 1 Hat):
Full package discount: Take $15 off regular price total (Discounted total: $146)
Purchase Total
Pick-Up and Pay for Items:
Phone: (218) 365-6602
wintergreennorthernwear.com
205 E Sheridan St. Ely, MN 55731
Made with Pride in Ely, MN
Winter Store Hours: Dec 15-Apr 1
Mon.-Fri. 9am-7pm (Wed. until 9pm)
Sat. 9am-5pm, Sun. 9am-4pm