Print off this form and post your order, along with a cheque, money order or well hidden cash to:

Fiona Walsh, PO Box 1144, Thornbury, Victoria, 3071

Sizes Available (shoulder width)
Large - 58cm
Medium - 55cm
Small - 52cm

T-shirt colours available a choice of cobalt blue or white

Name:_____________________________________________________

Postal Address:______________________________________________

__________________________________________________________

Number of T-shirts @ $22 a T-shirt________________

Size/s required_______________________________

T-shirt colour Cobalt Blue or White________________

Do you want to pick your t-shirt up at the sprint? _______

Do you want your order posted to you? _____________

Postages costs add $3 for one t-shirt, $4.50 for two t-shirts $6 for three t-shirts

Total amount enclosed ($22 per t-shirt plus possible postage costs) $_______________

No Credit Card facilities available and money to be in Australian dollars only, sorry