AROCA Qld 50th Anniversary Commemorative Mug

Please use this form to order your 50th Anniversary mugs.

The cost is $25 per mug. Mugs can be collected at the 50th Anniversary Dinner or BBQ at J.C. Slaughter Falls. Alternatively, your order can be posted for an extra $10 per order.

Please make your full payment once you have submitted your order form. Payment can be by direct deposit to the following account:

  • AROCA (QLD) INC - Bank of Queensland - BSB: 124021 - A/C No: 90629538
    (Make sure to enter your surname in the description field of your bank deposit so we know who it is from when we receive it)
Order Form
Fields marked with an asterix (*) are mandatory and must be filled in.
Please do not send confidential information such bank details via this form.
1 - Contact Details
The person we contact if we have questions about this order.
*Your Name:
*Contact eMail:
*Contact Phone:
2 - Delivery Address
Please provide the address where your order is to be delivered (we need this even if you nominate to collect your mug order at the Anniversary Dinner or BBQ).
*House/Unit No:
*Street:
*Suburb:
*Postcode:
*State:
3 - Number of mugs
Please indicate the number of mugs you want.
*Number of Mugs:
You can choose to collect your mug order at the 50th Anniversary Dinner or the Family BBQ at J.C. Slaughter Falls and save on postage cost.
*Collect/Deliver:
4 - Notes or comments
Add any special delivery instructions or other notes (e.g.: gift).

*Verification:
Please type in the red verification number displaying at left. This number helps prevent spam being sent to us. Note, if you enter the wrong number, you will need to re-enter all the information in the form again...

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