MS Auckland T-shirt Order Form

MS Auckland t-shirt order form

Name *

First name

Last name

Postal address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Email address *

Contact number

MS Auckland t-shirt size XS

	Quantity	Price	Total
xs size		$25.00	$

MS Auckland t-shirt size S

	Quantity	Price	Total
small		$25.00	$

MS Auckland t-shirt size M

	Quantity	Price	Total
Medium		$25.00	$

MS Auckland t-shirt size L

	Quantity	Price	Total
Large		$25.00	$

MS Auckland t-shirt size XL

	Quantity	Price	Total
XL		$25.00	$

MS Auckland t-shirt size 2 XL

	Quantity	Price	Total
2XL		$25.00	$

MS Auckland t-shirt size 3XL

	Quantity	Price	Total
3XL		$25.00	$

Total amount

Would you like your t-shirts posted? Postage and Packaging Fee is $10

Pay/Donate method

Debit/Credit Card

Direct Credit
Make deposit to account
12-3047-0088939-00

Thank you for your order!