/ QUEENSLAND SCHOOL SPORT
SWIMMING UNIFORM ORDER & PAYMENT FORM
PSG ADELAIDE 2017 /

NB: Please complete the following order form and payment form and forward to:

Greg Cran
St Ita’s Catholic Primary School
PO Box 6222
Fairfield Gardens Qld 4103 / Phone: 3838 8400
Email:
Order forms, with payment, must be received by Greg by 4 August 2017

The link to view the QSS items is now available at
NB: CHOOSE SIZES CAREFULLY AS THERE WILL BE NO REFUNDS OR EXCHANGES. ALL UNIFORM enquiries to Julie Ellis: 3621 6222, 0409 068032

STUDENT’S NAME:
SCHOOL: / PHONE(H): MOBILE:
EMAIL ADDRESS:
POSTAL ADDRESS:
POST CODE:

COMPULSORY UNIFORM

/ Section A

ITEM

/ SIZE / QTY / COST /

TOTAL COST

Polo Shirt: C8, C10, C12, C14, XS, S, M, L, / $23.50
PSG logo embroidery - per polo shirt (if required) / $5.00
Sports Shorts : 4XS, 3XS, 2XS, XS, S, M, L, / $22.95
Track Jacket: 4XS, 3XS, 2XS, XS, S, M, L / $46.50
Track Pants : 4XS, 3XS, 2XS, XS, S, M, L / $32.50
Socks (sizes 2-7, 7-11, 11-14) anklet
 quarter / $7.50
Bucket Hat (sizes SS -55, S- 57, M -59, L - 61) / $8.00
Sports Back Pack (Please tick your choice)
OR
Sports Back Sack / $24.00
OR
$7.00
Swim cap – white with maroon Qld design (NEW*) / $15.00

COMPULSORY UNIFORM TOTAL(Includes GST)

/ [A] $
OPTIONAL ITEMS / These items are not compulsory. Indicate the quantity and the total cost of any of the items you wish to purchase. NB: NO REFUNDS OR EXCHANGES.Prices include GST)

ITEM

/ SIZE / QTY / COST /

TOTAL COST

Water bottle / 1 / FOC
Additional water bottles / $4.00
Aquadiva Boys’ Togs (Briefs): 4,6, 8, 10,12, 14 (Circle size) / $36.00
Aquadiva Men’s Togs (Briefs): XS, S, M, L(Circle size) / $36.00
Aquadiva Girls’ Togs (Sprint): 4, 6, 8, 10, 12, 14 (Circle size) / $61.00
Aquadiva Ladies’ Togs (Sprint):8 (XS),10 (S), 12 (M), 14 (L), 16 (XL)(Circle size) / $61.00
Pool Deck Coat – long 8, 10, 12, 14, XS, S, M, L, XL / $90.00
Hoodie: 3XS, 2XS, XS, S, M, L / $33.00
Surf Shirt (Long) : 4XS, 3XS, 2XS, XS, S, M, L / $24.95
Swim Towel / $35.00
Sports Bag / $24.00
Sports Cap / $8.00
Yankz Elastic Shoe Laces / $15.00
Badges (Qld School Sport) / $1.20
Badges A – Qld B – Koala C - Orchid / $2.50 each
Sun with Qld badge / $3.00
OPTIONAL UNIFORM TOTAL (Includes GST)

COMPULSORY UNIFORM TOTAL(Includes GST)

/ [A]$

OPTIONAL UNIFORM TOTAL (Includes GST)

/ [B] $

Freight (Includes GST)

/ [C} $1.00
COMBINED TOTAL PLAYER UNIFORM ORDER (A + B + C)(Includes GST)
/ [D] $

OPTIONAL SUPPORTERS GEAR (supplied by Sportswear)

Supporter gear is now available from Sportswear Queensland directly via this link: . QLD Team Managers will no longer be taking orders for supporter gear, as all orders and payments can be made directly with the supplier through the link above.

In order to make a purchase all customers will need to create an online account through this website, and prior to ‘Checkout’ customers must nominate the Qld Swimming Team in order to support our team.

PAYMENT SECTION

STUDENT (Please Print Full Name)
SCHOOL
Total Cost - UniformOrder (GST inclusive)TOTAL [D] / $

PLEASE POST ORIGINAL FORM TO: orSCAN & EMAIL(with Credit Card details) to:

Greg

St Ita’s Catholic Primary School

PO Box 6222

Fairfield Gardens Qld 4013Due Date: 13 June2017

NB: If paying by cheque, please email a copy of the order to by 13 June2017

METHOD OF PAYMENT

Choose either Payment Method 1 or Payment Method 2.

Payment Method 1 (Cheque or Money order)

Please make Cheque/Money Order payable to:ST ITA’S CATHOLIC PRIMARY SCHOOL

I enclose a cheque/ money order for the amount of $______(GST)

Payment Method 2 (Credit Card)

Fax or post credit card details to GREG CRAN.

Please debit my credit card for the Total Uniform Order cost of $______(GST)

(Tick one)

MasterCardVisa

Card number

Expiry date

Name of cardholder as it appears on the card ______

Signature of cardholder ______