T-SHIRT PRE-ORDER FORM – 10% Discount

							                 T-SHIRT PRE-ORDER FORM – 10% Discount
                         ORDER EARLY TO AVOID DISAPPOINTMENT!!
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                  Pre-Order Form must be received by Sunday 28                        March 2010

Team                             Age Group (Circle)                                        Competition (Circle)

                                 12B    14B    16B    18B   12G 14G        16G   18G           CHAMPS          A

Team Name:

Team Organiser’s Name:

E-mail Contact
Mobile Phone:


       T-SHIRTS - Pre-ordered t-shirts are discounted by 10%
       .

                       Size                   Quantity      Pre-Order Price                Total

       Youth Medium                                               $27.00

       Youth Large (XS)                                           $27.00

       Small                                                      $27.00

       Medium                                                     $27.00

       Large                                                      $27.00

       XL                                                         $27.00

                                                             GRAND TOTAL          $

       Payment options:

       Cheque made out to Norwood Basketball Club and mailed to PO Box 72, Marden SA 5070 but also
       fax copy of Order to Norwood. Credit card details faxed to 08 8211 7708.

                 Tick box if Cheque Posted

       Credit Card Payment please charge to my
                                                                  VISA                         MASTERCARD




       Name of Card Holder      ______________________________________                Amount   _____________

       Expiry Date              ____________________               Signature ________________________

                                         www.easterclassic.basketball.net.au
T-SHIRT COLOUR IS NAVY BLUE