Clone of NBHA TEAM BELGIUM MEMBERSHIP FORM

NBHA TEAM BELGIUM

MERCHANDISING
Naam*

VoornaamFamilienaam
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Straat

Straat 2

StadProvincie

PostcodeStad
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Merchandising

De items worden niet verstuurd maar zijn beschikbaar op de eerstvolgende wedstrijd
NBHA Team Belgium T shirt - 35€

SMALLMEDIUMLARGE
KLEUR

ZWARTWITDONKERBLAUW
NBHA Team Belgium sweater - 50€

SMALLMEDIUMLARGE
KLEUR

ZWARTWITDONKERBLAUW
NBHA Team Belgium Jas, zwart - 80€

SMALLMEDIUMLARGEX-LARGE
Met naam + 5€

JANEE
NBHA Team Belgium Cap - 30€

ZWART, one size

Online betaling - gelieve op bovenstaand formulier de gewenste grootte en kleur aan te vinken, hier het aantal te vermelden en uw gewenste betalingsmiddel te kiezen

Cap NBHA

One size

€30.00 Quantity

NBHA jas

€80.00 Quantity

Naam op jas

€5.00 Quantity

NBHA Sweater

€50.00 Quantity

NBHA T-shirt

€35.00 Quantity

Total

€0.00

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Billing Address
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Klarna: Slice it requires a minimum payment amount for these countries:

Germany: € 45, Finland and Australia: € 100

Email


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Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email


Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email


Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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NBHA TEAM BELGIUM

Merchandising

Email

Email

Email

Email

Email

Email

Email