Uniform Order Form

 
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Order No 14 Order Date 23-Feb-2012

Name

Email

Confirm Email

Item Size No Price (each) Total

 

 

 

Embroidery Details:

 

Embroidery Details:

 

Embroidery Details:

 

Embroidery Details:

 

Embroidery Details:

Order notes

 

Payment Method

Payment to club treasurer

Please note:

  • Prices are indicative only
  • Order will be emailed to you and club administrator
  • If paying directly to club bank account notify Vicki when monies deposited

Deposit to club bank account

03-0363-0323722-00

Matamata Swim Club, ??? Bank

Reference is Order No   14

 

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