Merchandise Order Form Payment accepted via BACS transfer Please arrange a BACS transfer for the full amount of your chosen items Your payment reference must be your CHILDSNAME-MERCH (eg. JIMSMITH-MERCH) Our account details are as follows: NAME: Helen O Grady Sussex SORT CODE: 09-01-29 ACCOUNT NO: 38102259 Name Email address Phone number Child Name & HOGDA Class _________________________________ Item 1 Selection ---Rainbow Logo T Shirt (£11/£14)Rainbow Logo Sweatshirt (£16/£19)Rainbow Zip-Up Hoodie (£25/£30)Gold Logo T Shirt (£13/£16)Rainbow Logo Tote Bag (£9)Rainbow Logo Draw String Bag (£10) Size ---Bag One SizeChild XSChild SChild MChild LAdult SAdult MAdult L Quantity _________________________________ Item 2 Selection (optional) ---Rainbow Logo T Shirt (£11/£14)Rainbow Logo Sweatshirt (£16/£19)Rainbow Zip-Up Hoodie (£25/£30)Gold Logo T Shirt (£13/£16)Rainbow Logo Tote Bag (£9)Rainbow Logo Draw String Bag (£10) Size ---Bag One SizeChild XSChild SChild MChild LAdult SAdult MAdult L Quantity _________________________________ Item 3 Selection (Optional) ---Rainbow Logo T Shirt (£11/£14)Rainbow Logo Sweatshirt (£16/£19)Rainbow Zip-Up Hoodie (£25/£30)Gold Logo T Shirt (£13/£16)Rainbow Logo Tote Bag (£9)Rainbow Logo Draw String Bag (£10) Size ---Bag One SizeChild XSChild SChild MChild LAdult SAdult MAdult L Quantity Additional message Δ