T-Shirt Order Form
NAME________________________________________________
ADDRESS_____________________________________________
CONTACT PHONE OR EMAIL ______________________________
|
STYLE |
QUANTITY |
PRICE |
TOTAL |
|
Navy Polo Shirt and zip front |
$44.00 |
||
|
White Polo Shirt and zip front |
$44.00 |
||
|
Navy polo with button front |
$38.50 |
||
|
White polo with button front |
$38.50 |
||
|
$ |
Please return this form with your payment.
Send cheque or money order payable to AAOMT to:
Treasurer AAOMT
402 Ocean View Road
ETTALONG NSW 2257
OR
fax this completed for to the Treasurer, Janette Morton: 02 4342 0238
Credit card facilities are also available.
Bankcard ¨ Mastercard ¨ Visa¨ Expiry date: _____/_____
Card number:_________________________
Signature:____________________________