C3 SA Summer Camp 2018 Registration

CHOSEN HOODIE
To register to purchase a chosen hoodie or an FNY beanie, please fill out the form below. We will contact you to arrange a way for you to collect your hoodie
Full Name*
First NameLast Name
E-mail*
Address*
Street Address
Street Address 2
SuburbState
Postal Code
Phone Number*
Registration & Payment
I want
Hoodie ($50)Beanie ($25)Hoodie + Beanie ($75)
Size
SmallMediumLargeXLNA (For Beanie Only)
Payment
CashBank Transfer
If you are paying via Bank Transfer. Please email recipt of payment to c3youth@c3ah.org.au

Descrition: Youth Merch
BSB 035 094
Account Number 111528
Should be Empty:

CHOSEN HOODIE