LMJCC Uniform Ordering Form
Player Name
First Name
Last Name
Age Group for 2023/24 Season
Please Select
Junior Blasters
Master Blasters
U10
U11
U12
U13
U14
U15
U16/17
Boarder?
Yes
No
Player number if known or preferred number for new players (for iron-on transfers for shirts)
Parent / Carer Name
First Name
Last Name
Parent / Carer E-mail
example@example.com
Parent / Carer Contact Number
-
Area Code
Phone Number
My Products
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Long Sleeved White Game Shirt
$
48.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Shirt Size
Size 8
Size 10
Size 12
Size 14
Size 16
S
M
L
XL
XXXL
Club Navy / Gold Social Shirt
$
38.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Shirt Size
Size 6
Size 8
Size 10
Size 12
Size 14
S
M
L
XL
XXL
Wide Brim Hat
Please select a size: 55cm, 57cm or 59cm
$
23.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Head Circumference (cm)
Size 55
Size 57
Size 59
Gold Cap
One size fits all
$
18.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Run out stock: White Game Shirt 3/4 length sleeve
Polyester Cotton Podium Cool fabric
$
10.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Shirt Size
S
L
Run out stock: White Game Shirt Short Sleeve
Polyester Cotton Podium Cool fabric
$
10.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Shirt Size
Size 8
LMJCC Club Hoodie Junior Sizes
$
38.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Shirt Size
Size 12
Size 14
LMJCC Club Hoodie Adult Sizes
$
38.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Shirt Size
S
M
L
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
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Guinea-Bissau
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Japan
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Kyrgyzstan
Laos
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Other
Country
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