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ORDER FORM

Alan Wills

Regalia Officer

P O Box 12 063

Beckenham, Christchurch

New Zealand

Phone:  +64 3 332 7225

email: n/a

 

I wish to order the following Austin Healey Car Club of New Zealand merchandise indicated by the quantity in the appropriate boxes:

NAME

DELIVERY ADDRESS
EMAIL
PHONE

 

ITEM

COLOUR

 PRICE

S

M

L

XL

XXL

DENIM SHIRT

$45

POLO SHIRT

Black

 $25

Navy

 $25

Dark Green

 $25

White

 $25

VEST

Black

 $45

Navy

 $45

CAP

BLACK or NAVY

 $12

CLUB PIN

$5

NEW GRILLE BADGE

$20

OLD GRILLE BADGE

$20

KEYRING

$7.50

EMBROIDERED WING

$15

Please complete, print and post with payment to the above address

Postage and Packaging not included in above prices