Please complete the following form to order swimming caps and/or hooded towels. The order for the hooded towels will be placed once payment is made.

Customer detailsEnter the details of the Parent/Guardian/Customer. The person responsible for paying the invoice.

Personal Particulars

PrefixMr.Mrs.Ms.Mx.MissDr.Prof.

First Name *

Last Name *

Email Address *

Phone

Choose item

Choose item *Choose itemAMI Swimming Cap - R150AMI Swimming Hooded Towel - R450 (Child under 10 years)AMI Swimming Hooded Towel - R550 (Small)AMI Swimming Hooded Towel - R600 (Medium)AMI Swimming Hooded Towel - R650 (Large/Adult)

Name on hooded towel *

Collection at School or facility *Collect atMillstream Little MinnowsMillstream Preparatory SchoolSanddrift Primary SchoolPlaasjapies

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