|
MERCHANDISE MAIL ORDER FORM |
||||||||
|
Name: |
||||||||
|
Delivery Address: |
||||||||
|
Postcode: |
||||||||
|
I would like to purchase the following items: |
No. |
Price |
Total |
|||||
|
FITZROY FOOTBALL CLUB JUMPERS (1975-1996 style) |
||||||||
|
Long Sleeve (Size 105-Mens XL) |
$80.00 |
$ |
||||||
|
Sleeveless (Size 105-Mens XL) |
$75.00 |
$ |
||||||
|
PRE 1975 JUMPERS |
||||||||
|
Please download separate Pre-paid order form here |
|
|
||||||
|
FITZROY FOOTBALL LAPEL BADGES (member) FITZROY FOOTBALL LAPEL BADGES (non-member) |
$5.00 $10.00 |
|||||||
|
FFC with colours around them |
$10.00 |
$ |
||||||
|
FITZROY FOOTBALL CLUB DIARIES – 2002 |
$10.00 |
$ |
||||||
|
FITZROY REDS PREMIERSHIP TEE SHIRTS |
||||||||
|
(Sizes S, M, L, XL, XXL) |
$20.00 |
$ |
||||||
| "Local Rites" by Paul Daffey (inc postage & handling) | $25.00 | |||||||
| "Fitzroy" by Dyson Hore-Lacey (inc postage & handling) | $25.00 | |||||||
|
Postage & Packaging: |
||||||||
|
|
|
|||||||
| Jumpers | $10.00 | |||||||
| Tee Shirts | $ 5.00 | |||||||
|
Cheque Enclosed: |
|
$ | ||||||
|
PLEASE RETURN THIS FORM WITH YOUR PAYMENT |
||||||||||||||||||||||||||
|
I wish to use a cheque*/credit
card* to pay this invoice |
||||||||||||||||||||||||||
|
Please Charge |
$ |
Card Expiry Date: |
/ |
|||||||||||||||||||||||
| Card Holder's Name: | ||||||||||||||||||||||||||
|
Card Number: |
||||||||||||||||||||||||||
|
- |
- |
- |
||||||||||||||||||||||||
| AMEX q | Diners
q
|
BankCard q |
Visa
q
|
MasterCard q | ||||||||||||||||||||||
|
NOTE: CREDIT CARD TRANSACTION WILL BE PROCESSED BY IRONCORE TRANSFORMERS FOR THE CLUB |
||||||||||||||||||||||||||
|
Signature: |
||||||||||||||||||||||||||
|
Mail direct to: Or, Fax to +613 9587 0730 |
||||||||||||||||||||||||||