T'shirt Order Form

Porirua College 40th Anniversary Reunion 2009

Whiti Te Ra - The Rising Sun

T'shirts, DVD & Memorabilia !

Memorabilia Order Form

(please complete all relevant sections):

NB: It's important that you provide us with reliable email contact. Should you provide us with an unreliable email address, this may affect your order process. Thank you.

What Year did you START at P.C.? (please select year)
What Year did you FINISH at P.C.? (please select year)
What is your FIRST Name?
What is your LAST Name?
Your Physical Street Address:
Suburb:
City / Town:
Country (if outside NZ):
What Name & Postal Address do we send to (if different from above):
Your Email address (required):
Your Best Contact Ph No.:
Alternative Ph No.:
Which "Decade" colour T'shirt @ $32ea, do you wish to order? (select 1 style only)
If ordered, please select your nearest T'Shirt Size:
If ordered, please choose delivery method for your T'shirt:
If you wish to purchase a 40th Anniversary Reunion DVD @ $29ea, please select number of copies you require:
If ordered, please choose delivery method of DVD:
If you wish to purchase a special "Four Decade Yearbook" (selection of previous 40years) @ $20ea, please select number of copies you require:
If ordered, please choose delivery method for your Yearbook:
If you are purchasing multiple items and wish to combine postage to one address (we will advise combined cost), tick this box:

Note: Personal Information submitted on this form, will not be disclosed to any third party.