Uniform Order Form

Name*

First NameLast Name

Email*

example@example.com

Mobile Nr*

Today's date

Date

Select you products (please note product pictures are for reference only and not an exact representation of the final product)*

Long Sleeve Formal Shirt

$35.00AUD

	Quantity
6
8
10
12
14
16
18
20

Vests

$45.00AUD

	Quantity
6
8
10
12`
14
16
20

Short Sleeve Polo

$24.00AUD

	Quantity	Price
6		$24.00AUD
8		$24.00AUD
10		$26.00AUD
12		$26.00AUD
14		$26.00AUD
16		$26.00AUD
M		$26.00AUD
L		$26.00AUD

Saddle Cloths - Cotton

$65.00AUD Quantity

Tie

$17.00AUD

	Quantity
S
M
L

Tie Pin

$20.00AUD Quantity

Cap Badge

$10.00AUD Quantity

Saddle Cloth Oval Badge

$13.00AUD Quantity

Long Sleeve Polo Shirt

$30.00AUD

	Quantity	Price
6		$30.00AUD
7		$30.00AUD
10		$33.00AUD
12		$33.00AUD
14		$33.00AUD
16		$33.00AUD
18		$35.00AUD
20		$35.00AUD

Saddle Cloths - Woolen Formal335

$80.00AUD

	Quantity	Price
Pony		$80.00AUD
Full		$85.00AUD

Total

$0.00AUD

Payment details

Account Name: Brookfield Horse and Pony Cub
BSB Number: 633 000
Account Number: 151922457
Reference: Last name. Uniforms

You will receive an email confirming that your payment has been received and that your order is being processed. Only when payment has been made and you have received a confirming email you can pick your order up.

Orders can be picked up during pony club musters *Morning Tea & Lunch Time ONLY by Emma Tait.

If you require the uniforms earlier than morning tea at the upcoming muster contact Emma at 0401 448 280

Uniforms can be purchased during musters and we do have card payment facilities available at theunifrom shop.

Please upload your payment receipt/proof of payment*

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