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CHPSC Calendar/Burgee Order Form

Woops - something went wront - but don't panic! You have probably missed out some detail from the form. Please correct all * indicated fields! Thanks/ Diolch.

CHPSC Calendar / Burgee Order Form
Members - please note: you can order your calendar and burgee as part of your membership renewal/joining online process.

Required field are marked with: (*)

Name(*)

Address

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Post Code

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e-mail address(*)

Telephone No.

Additional Notes

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Please select from each drop-down box as appropriate ..

Calendar/s(*)

| One Calendar | - 10.00 GBP | Two Calendars | - 20.00 GBP | Three Calendars | - 30.00 GBP | No Calendars |

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Burgee(*)

| One Burgee | - 20.00 GBP | Two Burgees | - 40.00 GBP | Three Burgees | - 30.00 GBP | No Burgees |

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Postage or Collection (postage in UK only)

| No Postage I will collect | | One Postage | - 5.00 GBP | Two Postage | - 10.00 GBP | three Postage | - 15.00 GBP | four postage | - 20.00 GBP

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Donation to Youth Sailing

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Total

0.00 GBP

Registration Date (*)

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Submit

Admin Notes

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PaymentPayPal

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