Through the generous support of AMI Insurance we are able to offer embroidered club polo shirts
for only $27.50.
If you wish to purchase a polo shirt fill in the form below. Payment is required to confirm your
order. Payment can be made by cheque, posted to AMI Nelson Suburbs, P O Box 64, Nelson 7040 or by
direct credit payment to ASB 12 3165 0089502 00 with surname and the word polo in reference
details.
ORDER FORM: copy and paste onto an email and send to info@nelsonsuburbs.co.nz
I would like to order
................... Club Polo Shirts size S
Name.......................................................
................... Club Polo Shirts size M
Address....................................................
................... Club Polo Shirts size
L ....................................................
................... Club Polo Shirts size XL
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$27.50 per shirt Phone
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Payment will be made by ........................................................