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CLUB SHIRT ORDER FORM

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					                              CLUB SHIRT ORDER FORM
                     S           M            L           XL               2XL               3XL
CHEST               118         122          127          132              139               145
CB LENGTH            73          75           77           79               81                83
COLLAR               38          40          41.5          43               45                47


CLUB GT40 MOTO DRESS SHIRT - Hard Wearing easy care polyester cotton fabric      $60.00 ea

CLUB GT40 MOTO POLO - 100% Polyester fabric                                      $50.00 ea

CLUB GT40 CAP                                                                    $25.00 ea

Name: _______________________________________Membership #: ______________________________


Address: ________________________________________________________________________________

_____________________________________ Postcode: __________________________________________


                      ITEM              SIZE        QTY   PRICE EACH         TOTAL




                                                            TOTAL          $ ____________

CHEQUE ENCLOSED FOR $_________________

PLEASE CHARGE MY VISA / MASTERCARD / BANKCARD $_________________________

CARD NO: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ EXPIRY: __ / __

SIGNATURE ___________________________________________________________________




                     Postal address: 25 Marwood Street, BELMONT QLD 4153
                                         www.clubgt40.org
                                 Email: kbpinkstone@bigpond.com

				
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posted:5/3/2010
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Description: CLUB SHIRT ORDER FORM