Vintage Jersey Order Form

Vintage Jersey Order Form
First Name
Last Name
Email Address
example@example.com
How Many Jerseys are you ordering?
Jerseys are $100 each
Payment Method
*Please note that Credit Card, Apple Pay and Google Pay incure a 2.9% plus $0.30 transaction fee
Would you like to pay a 50% deposit, or the full amount?
Jersey 1
J1 Name
*Any text can be used; please note that longer values will be shrunk with a smaller font size to fit on the jersey. Leave blank if you don't want a name printed on the jersey.
J1 Number
You can select any 2 digit number!
J1 Size
Jersey 2
J2 Name
Leave blank if you don't want a name printed on the jersey.
J2 Number
You can select any 2 digit number!
J2 Size
Jersey 3
J3 Name
Leave blank if you don't want a name printed on the jersey.
J3 Number
You can select any 2 digit number!
J3 Size
Jersey 4
J4 Name
Leave blank if you don't want a name printed on the jersey.
J4 Number
You can select any 2 digit number!
J4 Size
Jersey 5
J5 Name
Leave blank if you don't want a name printed on the jersey.
J5 Number
You can select any 2 digit number!
J5 Size
Jersey 6
J6 Name
Leave blank if you don't want a name printed on the jersey.
J6 Number
You can select any 2 digit number!
J6 Size
Jersey 7
J7 Name
Leave blank if you don't want a name printed on the jersey.
J7 Number
You can select any 2 digit number!
J7 Size
Jersey 8
J8 Name
Leave blank if you don't want a name printed on the jersey.
J8 Number
You can select any 2 digit number!
J8 Size
Jersey 9
J9 Name
Leave blank if you don't want a name printed on the jersey.
J9 Number
You can select any 2 digit number!
J9 Size
Jersey 10
J10 Name
Leave blank if you don't want a name printed on the jersey.
J10 Number
You can select any 2 digit number!
J10 Size
Online Payment Amount
Online Payment Remaining Amount

Bank Transfer Amount (AUD$)
Please transfer your deposit to:

Name: Albany Creek GPS JRUFC
BSB: 124 068
Account: 022 267 564
Reference: {typeA97}{typeA31}

Your order will be confirmed once payment is received.

This information will also be emailed to you
Acknowledgements
Bank transfer deadline
Refunds
Full Payment
Should be Empty: