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Sussex Golf Captains Merchandise Order Form
Member`s email Address
Important: Enter a valid email address. Receipts will be sent to this address.
*email:
Item Selection
Glenmuir Shirt
Glenmuir Lomond Sweater
Glenmuir Windermere Slipover
Proquip Windtop **Special Offer**
Glenmuir Gilston Windtop
Cap
Panama Hat
Panama Hatband
Blazer Badge
Cufflinks
Tie
Titleist NXT Tour S Logo Balls
Sub-Total:
Shipping
Grand Total:
Member`s Name & Address
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*Town
*Postal Code:
Phone:
When you click submit you will be taken to a review page where you have the option of paying by PayPal or direct.
*Payment Type
Cheque Cash Direct Payment Credit/Debit Card (3% handling charge) 
Collection/Delivery Instructions
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