RALLY MERCHANDISE ORDER FORM
All merchandise sales are subject to availability of
item
2012 RALLY MERCHANDISE SALE!!
Celebrating 25 years Polo Shirt with Pocket - $5 each
SIZE
QUANTITY
XS
S
M
L
XL
XXL
XXXL
XXXXL
COST
$
Celebrating 25 years Baseball Cap - $5 each
One size fits all
QUANTITY TOTAL COST
$
Celebrating 25 years Stubby Coolers - $2 each
QUANTITY TOTAL COST
$
2013 RALLY MERCHANDISE
2013 Baseball Cap - $15 each
QUANTITY TOTAL COST
$
2013 Stubby Cooler (shown as flat to show both sides) - $5
each
QUANTITY TOTAL COST
$
2013 ‘Official’ Rally Polo Shirt - $40 or $35 each
OR 2013 ‘Unofficial’ Rally Polo Shirt - $10 each
N.B. The difference in the shirts is the type of material and the orange colour
MENS, LADIES & CHILDREN SIZES AVAILABLE - ‘OFFICIAL’ SHIRT
SIZE
MENS - $40
LADIES - $40
QUANTITY COST SIZE QUANTITY
CHILDREN - $35
SIZE
QUANTITY
COST
XS
S
M
L
XL
2XL
3XL
4XLL
5XL
8
10
12
14
16
18
20
22
24
26
28
$
COST
4
6
8
10
12
14
16
$
$
MENS, LADIES & CHILDREN SIZES AVAILABLE- ‘UNOFFICIAL’ SHIRT
SIZE
MENS - $10
LADIES - $10
QUANTITY COST SIZE QUANTITY
CHILDREN - $10
SIZE
QUANTITY
COST
XS
S
M
L
XL
2XL
3XL
4XLL
5XL
8
10
12
14
16
18
20
22
24
26
28
$
COST
4
6
8
10
12
14
16
$
$
TOTAL ORDER
ITEMS ORDERED
QUANTITY TOTAL COST
2012 Polo Shirts @ $5
$
2012 Baseball Caps @ $5
$
2012 Stubby Coolers @ $2
$
2013 Polo Shirts @ $40
$
2013 Polo Shirts @ $35
$
2013 Polo Shirts @ $10
$
2013 Baseball Caps @ $15
$
2013 Stubby Coolers @ $5
$
TOTAL COST OF TRANSACTION
$
PAYMENT DETAILS
Payment Method:
Cheque
Direct Deposit
Credit Card:
 Cheque
 Direct Deposit
 Credit Card
Please make chqs payable to: Endeavour Foundation & post to:
Joel Stephens
Events Coordinator
Endeavour Foundation
PO Box 3555
Tingalpa QLD 4173
Bank:
ANZ
BSB:
014 245
Account Number: 777025389
Account Name:
Endeavour Foundation
Payment Ref:
Rally Merch + Initial.Surname (eg B.Smith)
Type: Visa / MasterCard (Please circle)
Credit Card Number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiry Date: _ _ / _ _
CCV #:
_ _ _
Signature:
OR
Phone (07) 3908 7291 to process over the phone
Return order form and payment details to [email protected] or to the postal
address listed above.
DELIVERY DETAILS
Service Name:
Name:
Address:
Suburb:
State:
P/C :