SHIRT ORDER FORM2010424235353

							          LITTLE ATHLETICS STATE MULTI-EVENT 2010

   SHIRT ORDER FORM
            SHIRTS $30.00 EACH (ALL SIZES)




FRONT                                BACK

NAME                          CLUB       SIZE                    QUANTITY COST $
                                         (CHILDRENS OR ADULTS)




   *****PAYMENT TO BE MADE BY CHEQUE OR MONEY ORDER ONLY*****
            PLEASE SEND ALL ORDER FORMS AND MONIES TO:

              SHOALHAVEN LITTLE ATHLETICS CENTRE
                          PO BOX 819
                       NOWRA NSW 2541

          ALL ORDERS NEED TO BE IN BY THE 30TH OF JANUARY 2010