AMSAR Order Form

Please use this form if you wish to renew your AMSAR membership or book a place on the next AMSAR training ride.

All items available here help raise much needed funds for AMSAR Search and Rescue Equipment and Training.


AMSAR Jersey	AMSAR Cap - front	AMSAR Cap - back

Your Contact Details

Name

Email Address

Confirmation email sent here

Telephone Number

Postal Address

Full address include postcode

Payment Method

	I authorize AMSAR to use my credit card details as stored on file
	I will call or fax my credit card details - (number below)
	I will send a cheque or money order - (address below)

Other Comments

Please use your 'back' button to return to this page for multiple item orders

By Fax	By Post
Fax the following details to Greg on number 07 382 382 56 Name (as it appears on the card) Card Number Card Expiry Date	Post Cheque or Postal Money Order to: AMSAR PO Box 1673 Oxenford Qld. 4210

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Select	Item / Description	Price
	1 x AMSAR Jersey - official jersey (only avail. to trained/certified members)	$110.00

	1 x AMSAR T-Shirt - official shirt, khaki green.	$39.00

	1 x AMSAR Cap - quality cap with logo.	$25.00

	1 x AMSAR shoulder patches (2) - identification for jersey, jacket or backpack	$25.00

	1 x AMSAR annual membership renewal	$55.00

	1 x Backpack First Aid kit - small, lightweight softbag with essential emergency items	$25.00

	1 x CPR face shield - essential item for resuscitation	$2.80

	1 x Latex FA gloves (pkt2) - essential item to render First Aid	$1.80

	1 x Snr First Aid course - for riders - provided by eFirstaid (The First Aid Training Co.)	$110.00pp

	1 x Book Training Ride - book your place in the next ride - see Calendar.	$169.00pp
	Prices include postage where applicable