'Share & Wear' Scheme On-Line Order Form

Please complete in full

Your Email Address
Please confirm your email address:
Your Name

The Name for the web site (if different from above).

If you are ordering this for someone as a gift or on behalf of a business name, please enter this here.

Your Full Address
Your Full Postcode
Your Contact phone number:
Have you been to an Islanders home game before.?
Have you visited the Islanders web site before.?
Please select the shirt(s) your require from one or both of the following drop-down lists:
Which players HOME shirt would you like to purchase.?
(If the name of your player is not displayed it means the shirt is not available)
Which players AWAY shirt would you like to purchase.?
(If the name of your player is not displayed it means the shirt is not available)

Please Note: Only click the submit button once.
Payment details and where to post your cheque to will appear on the next page.
Once we have received your payment, you name will appear on the 'Share & Wear' page and we will make arrangements to get your name on the shirt as soon as possible.

 

They are going fast so order as soon as possible!

 

 


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