New Referee Uniform Order Form
**For new referee orders only. If you would like to order additional items please use https://www.mdfra.com.au/equipment-order/
Referee Name
*
First Name
Last Name
Contact Name
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Contact phone number
SSG/L4
Please Select
SSG
Level 4
SSG Uniform Package
SSG uniform package includes; black referee shirt, shorts, socks, polo short (may be some delays polos), notebook and additional whistle.
L4 Uniform Package
L4 uniform package includes; black referee shirt, shorts, socks, polo shirt (may be some delays), referee cap, flags, cards, notebook and additional whistle.
Pick Up
Collection can be made on Monday nights between 6:30-7:30pm at Belgenny Reserve (Camden Falcons home ground). Collections can also be made at the monthly General Meetings at Wests League Club. Please advise if you are collecting to ensure your order is there.
Payment
A number of payment options are available. The Equipment Officer can accept cash payments, or evidence of payment into the MDFRA bank account - either suitable evidence (such as viewing it on your device), or by verification by the management committee (MC). Electronic card payments can be made at general meetings or prior appointment, as the Treasurer has the card terminal (1.9% merchant fee applies). MDFRA bank details: Account Name: MDFRA BSB: 032-054 Acc No: 510184
Equipment Officer Contact Details
Johan Pinto, equipment@mdfra.com.au
Order Options
Categories:
All
All
Referee Package
Additional items
prev
next
( X )
Referee Package
Dress Polo Shirt - package
$
Free
AUD
Size
S
M
L
XL
2XL
3XL
Referee Shirt (black) - package
$
Free
AUD
Size
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Referee Shorts - package
$
Free
AUD
Size
XS
S
M
L
XL
2XL
3XL
4XL
5XL
Referee Socks - package
$
Free
AUD
Shoe Size
3.5 - 6.5 UK (4 - 7.5 US)
7 - 9.5 UK (8 - 10.5 US)
10 - 12.5 UK (11 - 13.5 US)
Referee Whistle - Fox 40 Classic - package
$
Free
AUD
Color
Black
Blue
Green
Orange
Red
Yellow
Referee Notebook (50 pages) - package
$
Free
AUD
Referee Flag Set (set of 2) - (Junior/Senior Package only)
$
Free
AUD
Referee Card Set (Yellow/Red) - (Junior/Senior Package only)
$
Free
AUD
Referee Cap - (Junior/Senior Package Only)
$
Free
AUD
Additional items
Additional Referee Shirt - Black
$
35.00
AUD
Size
Quantity
XS
0
1
2
3
4
5
6
7
8
9
10
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
4XL
0
1
2
3
4
5
6
7
8
9
10
5XL
0
1
2
3
4
5
6
7
8
9
10
Referee Shirt - Yellow
$
35.00
AUD
Size
Quantity
XS
0
1
2
3
4
5
6
7
8
9
10
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
4XL
0
1
2
3
4
5
6
7
8
9
10
5XL
0
1
2
3
4
5
6
7
8
9
10
Referee Training Shirt - White/Black
$
32.00
AUD
Size
Quantity
XS
0
1
2
3
4
5
6
7
8
9
10
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
4XL
0
1
2
3
4
5
6
7
8
9
10
5XL
0
1
2
3
4
5
6
7
8
9
10
Referee Off-Field Jacket
$
55.00
AUD
Size
Quantity
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
Referee Spray Jacket
$
35.00
AUD
Size
Quantity
XS
0
1
2
3
4
5
6
7
8
9
10
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
Referee Cap (With Logo)
$
13.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Whistle - Fox 40 Classic (various colours)
$
10.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Flag Set (set of 2)
$
20.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Notebook (50 pages)
$
2.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Card Set (Yellow/Red)
$
2.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Smartcardz (Yellow/Red/White with Pen)
$
10.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Organiser (to store whistles, pens, notebooks)
$
20.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Gear Bag (sports bag for uniforms/equipment)
$
35.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Referee Socks
$
12.00
AUD
Shoe Size
Quantity
3-6
0
1
2
3
4
5
6
7
8
9
10
7-10
0
1
2
3
4
5
6
7
8
9
10
11-14
0
1
2
3
4
5
6
7
8
9
10
Referee Shorts
$
25.00
AUD
Size
Quantity
XS
0
1
2
3
4
5
6
7
8
9
10
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
4XL
0
1
2
3
4
5
6
7
8
9
10
5XL
0
1
2
3
4
5
6
7
8
9
10
Additional [New] Referee Dress Polo Shirt - Black [Stanno]
$
30.00
AUD
Size
Quantity
S
0
1
2
3
4
5
6
7
8
9
10
M
0
1
2
3
4
5
6
7
8
9
10
L
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
2XL
0
1
2
3
4
5
6
7
8
9
10
3XL
0
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
AUD
Equipment Pick Up Method
Training - Belgenney Reserve 6:45pm-7:15pm
General Meeting - Wests Leagues Club
Payment Method
*
No payment required
Cash
Direct deposit - Account Name: MDFRA BSB: 032-054 Acc No: 510184
Electronic card payment by prior appointment (1.9% merchant fee applies)
Equipment Pick Up Date
*
-
Day
-
Month
Year
Desired pick up date, such as general meeting or Wednesday/Thursday night
Additional Information or Requests
Please add any further requests or information
Submit Order
Clear Form
Print Form
Should be Empty: