Sixth Battalion The Royal Australian Regiment Association Association

Document Sample
Sixth Battalion The Royal Australian Regiment Association Association Powered By Docstoc
					The Secretary
6 RAR Association
PO Box 225
RED HILL Qld 4059



                     Sixth Battalion The Royal Australian Regiment Association

                                                Association Shirt Order Form

   Surname:…………………………………….Given Names: ……………………………………………….

   Address: …………………………………………………………………………………………………………………..

             …………………………………………………………………………………….Postal Code: ……………….

   Phone Numbers:

   Home: …………………………..…….. Work:……………………………………… Mobile:……………………………………..


   We need to associate you to a single company, which would you choose? ………………………………………………..

   You are encouraged to purchase a 6 RAR Association lapel badge and name tag and subscribe to our
   newsletter,“Stand To”

   6 RAR Assn Lapel Badge @                                    $8.00 each                                       $............................................


   6 RAR Assn Name Badge @                                     $10.00 each                                      $............................................

   inscribed as follows:………………………………………………

   “Stand To” subscription until June
   2015 @                                                      $75.00                                           $............................................

   I wish to donate $........................ to the Association to help defray
   expenses                                                                                                     $............................................

                                                               TOTAL                                            $............................................

   Herewith I have enclosed a cheque/money order in the amount of $...........................................or please debit this
   amount to my Credit Card as follows:

   Card No: ............................................................................................... expiry date ...........................

   Name on Card: ……………………………………………………………………………………….

   Card Holders Signature: …………………………………………………………………………….