MX-5 Regalia Order Request
Information about placing an order
After you fill out this order request, I will contact you to go over details and availability before the order is completed. If you have any questions before submitting your form please contact Chris on (02) 49-319-388 or

Quantities of up to 2 of each shirt may be ordered on this form. Just use multiple forms if you need to order more.

Payment MUST be made PRIOR to acceptance of your order.

Orders are placed with the supplier once per quarter, according to the following cycle:

order 31 January for delivery by 28 February
order 30 April for delivery by 31 May
order 31 July for delivery by 30 August
order 31 October for delivery by 30 November

A limited stock of these items is kept on hand so your order may be available for immediate delivery.

My details
My name *
Your answer
Member Number *
Your answer
Chapter *
Phone number
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Your answer
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