East Coast Eagles RLFC Order Form To order by post, simply print off (right Mouse Click and select print)and fill this order form, and send with payment by cheque, postal order to: Please do not send cash by post. ------------------------------------------------------------------------- East Coast Eagles RLFC Time House 56 Sandyford Industrial Estate Dublin 18 Ireland ------------------------------------------------- Eagles Jersey ( please Circle Size) €65 Size M - L - XL - XXL - XXL Quantity required = ------------------------------------------------- €65 Eagles Training Top ( please Circle Size) Size M - L - XL - XXL -XXXL Quantity required = ------------------------------------------------- Eagles Polo Shirt ( please Circle Size & Colour ) $30 Size M - L - XL - XXL Colour White - Gray - Navy - Black Quantity required = ------------------------------------------------- Eagles T-Shirt ( please Circle Size & Colour ) $20 Size S - M - L - XL Colour White - Gray - Navy Quantity required = ------------------------------------------------- Eagles Club Tie €20 Quantity required = ------------------------------------------------- Your Name ________________________ Email ___________________ Address ________________________ Phone ___________________ ________________________ Mobile___________________ ________________________ ________________________ ________________________ Postage & Packing ----------------- Under £10 Under £50 Over £50 Eire €2.00 €4.00 €6.00 UK: €4.00 €6.00 €8.00 Europe: €5.00 €8.00 €9.00 Other: €6.00 €9.00 €10.00 Payment Method: Cheque / Draft ( please Circle ) Sub Total: €________ Postage & Packing : €________ Total: €________