EVENTING NSW MERCHANDISE ORDER FORM

NAME:

ADDRESS:

POST CODE:

PHONE: MOB:

ITEM	SIZE	QTY	EACH $	TOTAL
CAP	ONE SIZE		$20
BUCKET HAT	S/M OR M/L		$20
BACKPACK	ONE SIZE		$30
BLACK T'SHIRT	S – L		$30
GREY POLO	8 – 16 LADIES		$45
GREY POLO	S - XXL		$45
BEIGE POLO	S - XXL		$45
NAVY POLO	S - XXL		$45
DENIM SHIRT	S - XXL		$45
STRIPED RUBGY	L / XXL		$50
NAVY RUGBY	S - XXL		$55
MUSTARD RUGBY	S - XXL		$55
FLEECE VEST	S - XXL		$55
RAIN JACKET	S - XXXL		$75
Postage @ $5.00
TOTAL				$

Payment by: 1. CHEQUE/M.Order made payable to: NSW Eventing Council

OR 2. CREDIT CARD

Please charge my credit card: B/C Visa M/C (circle)

Name on card:

Signature:

Card Number: Expiry date: /

PLEASE SEND OR FAX THIS FORM WITH YOUR PAYMENT TO:

1. A.Shacklady, 390 Wyong Road, Duffys Forest, NSW 2084 fax: 02 9486 3065
2. ENSW Secretary, 'Boonoona', Spring Ridge, NSW 2343 fax: 02 6747 3810

**NB. All profits from ENSW merchandise go directly back into the sport.

SUPPORT THE SPORT!!