Fashion & Accessories
Mar 10, 2016
Fashion &Accessories
Order Form
Full Name: ____________________________________________________
Phone: ________________________________________________________
Email: _________________________________________________________
Your SSI Freediving Facility: ______________________________________
1. Your Details
□ Credit Card
CARD HOLDER: _______________________________________________ TYPE: _______________
CARD NUMBER: ____________________________________________________________________
EXPIRY: _________ / _________ CCV: __________ (debited upon confirmation phone call)
SIGNATURE: _______________________________ DATE: _______________
□ Direct Deposit Bank: NABBSB 082 748Acct no: 82 296 7982
□ ChequeSSI Australasia Pty. Ltd.PO Box 100East Maitland NSW 2323
3. Payment Method ($24.95 each)
Size & QTY: S □ M □ L □XL □ XXL □2. Order Details
SSI Australasia Pty. Ltd.18 Arunga DriveBeresfield NSW 2322
or
First Impre ons areLasting Impre onsFreediving
T-shirt
Please fax or email order form to SSI Australasia on (02) 4966 4775 or [email protected]
Only
$24.95
FREEDIVING
Black - White LiningMens and Ladies
Black - Grey LiningMens and Ladies
Black - Red LiningMens and Ladies
Black - Yellow LiningMens and Ladies
Black - PurpleMens and Ladies
Black - Orange LiningMens and Ladies
Navy - Yellow LiningMens and Ladies
Navy - Green LiningMens and Ladies
Navy - White LiningMens and Ladies
Blue - White LiningMens and Ladies
Light Blue - White LiningMens and Ladies
Green - White LiningMens and Ladies
Grey - Yellow LiningMens and Ladies
Grey - Orange LiningMens and Ladies
White - Black LiningMens and Ladies
Red - White LiningMens and Ladies
Pink - White LiningLadies Only
YOUR LOGO
HERE
• Comfort Fit• 100% Polyester• 160g/m2 Approx• Breathable Material• UPF Sun Protection
• Your Logo Embroided on Right Breast
• SSI Logo embroided on Left Breast
• “www.diveSSI.com” embroided on back under collar.
First Impre ons areLasting Impre onsPolo Shirts
Quality Staff ShirtsPlace Your Order Today!
MENS S M L XL 2XL 3XL 4XL
CHEST 53.5 56 58.5 61 63.5 66 68.5
CB LENGTH 69.5 72 74.5 77 79.5 81 82
LADIES 08 10 12 14 16 18 20 22 24
BUST 43.5 46 48.5 51 53.5 56 58.5 63 66
CB LENGTH 57.5 59 61.5 64 66.5 69 71 72 72
Size Chart
Polo Order Form
Store: _________________________________________________________
Store Contact: _________________________________________________
Phone: ________________________________________________________
To place your order, fill our the details required then fax or email your order to:Fax: (02) 4966 4775Email: [email protected]
1. Store Details
□ Credit Card
CARD HOLDER: _______________________________________________ TYPE: _______________
CARD NUMBER: ____________________________________________________________________
EXPIRY: _________ / _________ CCV: __________ (debited upon confirmation phone call)
SIGNATURE: _______________________________ DATE: _______________
□ Direct Deposit Bank: NABBSB 082 748Acct no: 82 296 7982
□ ChequeSSI Australasia Pty. Ltd.PO Box 100East Maitland NSW 2323
2. Payment Method2. Payment Method
MENS QUANTITY
S
M
L
XL
2XL
3XL
4XL
COLOUR
LADIES QUANTITY
08
10
12
14
16
18
20
22
24
COLOUR
3. Sizes and Quantities
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4. Notes
New Products Available from SSI
from SSI
SSI Sports Hoodie Sizes S-XXL $38.50 incl. GST Available in two colours, Black and Grey Size Quantity Quantity Price
Black Grey S x .
M x .
L x .
XL x .
XXL x .
Total .
Plus Postage & Handling
Name: Dive Leader Number:
Address: State: Postcode:
Mobile Number: Home Number: ( )
Email: Dive Store Affiliation:
Payment Details
Card Holder: Card Type: Visa / Master Card / AMEX
Card Number: Expiry Date: / CCV:
CASH CHEQUE MONEY ORDER DIRECT DEPOSIT (NAB BSB 082 748 ACCT # 82 296 7982)
SSI Sports Hoodie
Please send my order to My personal address My affiliated dive store
New Products Available from SSI
from SSI
SSI Executive Wheelie Bag Extendable handle, padded shoulder strap and multiple compartments. $99.95 incl. GST Quantity Price . Total . Plus Postage & Handling
Name: Dive Leader Number:
Address: State: Postcode:
Mobile Number: Home Number: ( )
Email: Dive Store Affiliation:
Payment Details
Card Holder: Card Type: Visa / Master Card / AMEX
Card Number: Expiry Date: / CCV:
CASH CHEQUE MONEY ORDER DIRECT DEPOSIT(NAB BSB 082 748 ACCT # 82 296 7982)
SSI Executive Wheelie Bag
Please send my order to My personal address My affiliated dive store
New Products Available from SSI
from SSI
SSI Instructor Back Pack Sturdy Professional w/Dry Zips, Laptop compartment and Padded Shoulder straps. $69.95 incl. GST Quantity Price . Total . Plus Postage & Handling
Name: Dive Leader Number:
Address: State: Postcode:
Mobile Number: Home Number: ( )
Email: Dive Store Affiliation:
Payment Details
Card Holder: Card Type: Visa / Master Card / AMEX
Card Number: Expiry Date: / CCV:
CASH CHEQUE MONEY ORDER DIRECT DEPOSIT(NAB BSB 082 748 ACCT # 82 296 7982)
SSI Instructor Back Pack
Please send my order to My personal address My affiliated dive store
New Products Available from SSI
from SSI
SSI Jacket Fleece lined windproof technical layered shell. Sizes S-XXL $69.95 incl. GST Size Quantity Price S x .
M x .
L x .
XL x .
XXL x .
Total .
Plus Postage & Handling
Name: Dive Leader Number:
Address: State: Postcode:
Mobile Number: Home Number: ( )
Email: Dive Store Affiliation:
Payment Details
Card Holder: Card Type: Visa / Master Card / AMEX
Card Number: Expiry Date: / CCV:
CASH CHEQUE MONEY ORDER DIRECT DEPOSIT (NAB BSB 082 748 ACCT # 82 296 7982)
SSI Jacket
Please send my order to My personal address My affiliated dive store
New Products Available from SSI
from SSI
SSI Stubby Holder $5.00 each Or 5 for $20.00 incl. GST Quantity Price . Total . Plus Postage & Handling
Where you would like you order to be sent? Your personal address Your affiliated dive store
Name: Dive Leader Number:
Address: State: Postcode:
Mobile Number: Home Number: ( )
Email: Dive Store Affiliation:
Payment Details
Card Holder: Card Type: Visa / Master Card / AMEX
Card Number: Expiry Date: / CCV:
CASH CHEQUE MONEY ORDER DIRECT DEPOSIT (NAB BSB 082 748 ACCT # 82 296 7982)
SSI Stubby Holder
Please send my order to My personal address My affiliated dive store
www.diveSSI.com
THE ULTIMATE
DIVE EXPERIENCE