6aside Team Playing Shirt Order
Team Name
6
8
10
12
14
S
M
L
XL
2XL
3XL
Quantity
per size
Iron on
Numbers
are $7.50
per number.
Please give
total
required.
Ground
Total shirts @ $11.00
per shirt
Numbered shirts @
$17.50 per shirt
Night
Place a tick beside your Team Colour preference
Royal
White
□
□
Black
Red
□
□
Emerald
Sky
□
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Payment can be made by credit card – please provide below or by direct deposit to account:
BSB: 082 201
Account Number: 509465329
Reference: Gear6aside(your team name).
Amount:
$____________
Name on Credit Card:
_________________________________________
Credit Card Number:
_________________________________________
Expiry:
_________
Signature:
______________________________________________
Yellow
Purple
□
□
Orange
Maroon
□
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