ORDER FORM: QUINS WARMUP TOP
COST: R300 per top
EFT DETAILS: FNB Cheque Account 51050035852 Branch 252045 Ref: TOP+Your Name & Surname
Please send proof of payment to harlequinhockey@gmail.com TO CONFIRM YOUR ORDER.
DEADLINE: 31 May 2019
ESTIMATED DELIVERY: First Game of Round 2 - 13/14 July
DESIGN: As per below with HARLEQUINS on the back across the shoulder blades. Material same as playing shirt. Cut and size the same as playing shirts.
PERSONAL INFORMATION (PLAYER)
Name: *
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Surname: *
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Cellphone No: *
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Email Address: *
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Quins Team: *
ORDER DETAILS:
Gender: *
Top Size: *
Quantity *
TERMS AND CONDITIONS
By submitting your information in the above form, you are confirming your order for a Quin Warm Up Top and you will be liable for the associated costs. *
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