Shirt Order Form

Would you like to order a SC&T Rovers Shirt? Fill in the form below, and we’ll order your shirt in the next order!

[input label=”First Name” name=”FName” required=”true”]
[input label=”Last Name” name=”LName” required=”true”]
[mail label=”E-Mail” name=”Email” required=”true”]
[input label=”Contact Phone” name=”Phone” required=”true”]
[radio description=”Crew Name” label=”Albion Park;Austinmer;Figtree;Goulburn;Korrahill;Queanbeyan;Shoalhaven;Tablelands;Warilla;Wollongong;Other” value=”Albion Park;Austinmer;Figtree;Goulburn;Korrahill;Queanbeyan;Shoalhaven;Tablelands;Warilla;Wollongong;Other” name=”Crew” required=”true”]
[radio description=”Payment Method” label=”Direct Deposit;Cash @ RRC” value=”Direct Deposit;Cash @ RRC” name=”PayMethod” required=”true”]
[checkbox label=”I agree to pay the Region Rover Council $XX for my for a SC&T Rover Shirt.” value=”yes” name=”Agree” required=”true”]
[submit label=”Send!”]