SSI Australia Fashion

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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_____________________

_____________________

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_____________________

_____________________

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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


from SSI

SSI Executive Wheelie Bag Extendable handle, padded shoulder strap and multiple compartments. $99.95 incl. GST Quantity Price . Total . Plus Postage & Handling





Payment Details



CASH CHEQUE MONEY ORDER DIRECT DEPOSIT(NAB BSB 082 748 ACCT # 82 296 7982)

SSI Executive Wheelie Bag



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





Payment Details



CASH CHEQUE MONEY ORDER DIRECT DEPOSIT(NAB BSB 082 748 ACCT # 82 296 7982)

SSI Instructor Back Pack



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





Payment Details




SSI Jacket



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





Payment Details




SSI Stubby Holder


www.diveSSI.com

THE ULTIMATE

DIVE EXPERIENCE

Documents

SSI Australia Fashion