MTB Level Up Program Jersey Order

We are excited to have you as a part of our Level Up Program by Box.
Level Up Rider Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I have set up my account on boxcomponents.com with this email address and included my shipping address. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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An account at Box is required to receive discounts. If you haven't set up an account, please click here to register.

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Note: Please confirm your size using this size chart. Once printed, the size cannot be changed.

ORDER YOUR JERSEY

Item {binding ItemNumber}

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I understand that the discount level and perks received from Box are valid directly through boxcomponents.com ONLY. These discounts do not apply to track vendors, bike shops, or other third party vendors. Other exclusions may apply.

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{~ Payment_Block_Label}

{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{binding Name}:{binding displayValue}---
{{ Cognito.resources['payment-amount-due'] + ":" }} {binding displayValue}

MTB Level Up Program Jersey Order

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:{binding displayValue}

MTB Level Up Program Jersey Order

We are excited to have you as a part of our Level Up Program by Box.

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:{binding displayValue}
Level Up Rider Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I have set up my account on boxcomponents.com with this email address and included my shipping address. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

An account at Box is required to receive discounts. If you haven't set up an account, please click here to register.

What's your jersey size? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this your first order or did you level up? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Sleeve Preference {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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What is your current standing? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Link to UCI/USA Cycle Profile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Note: Please confirm your size using this size chart. Once printed, the size cannot be changed.

ORDER YOUR JERSEY

Item {binding ItemNumber}

JERSEY LEVEL ASSIGNED {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ADD ONS ​​[NAME / NUMBER​] {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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SHIPPING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Please write down the name and number ​​[if applicable​] exactly as it should be shown on the jersey. Write "N/A" if not applicable. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I understand that the discount level and perks received from Box are valid directly through boxcomponents.com ONLY. These discounts do not apply to track vendors, bike shops, or other third party vendors. Other exclusions may apply.

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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