Ulster Section - Club Polo Shirt

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ORDER FORM

Name *

Membership No

Email Address *

Select ONE Polo Shirt Type from the Drop Down options below.

For Additional orders a NEW Form needs to be resubmitted.

GENDER *

MALE SIZES

For Additional orders a New Form needs to be resubmitted.

FEMALE SIZES

For Additional orders a New Form needs to be resubmitted.

Payment (Bank Transfer) Details to:- *

BMW Club Ulster Section

Please reference your Bank Payment (Name + Polo24)

I agree to pay £20 per Polo Shirt by Bank Transfer (A New Form to be resubmitted for additional orders)

I Agree for the club to store my information above electronically to process your order

Required

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