Payment form for students

Choose the program. This will enable options below.
Quantity
Select how many jackets you would like in each size. Each jacket is $60
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Select how many singlets you would like in each size. Each singlet is $20
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$
Please use school email. e.g. for public school students email should be name@education.nsw.gov.au
Start typing in the box to bring up a list of schools to select from.
What year is the student in?
Please enter a phone number to use as a primary contact. This could a fixed line or mobile phone.
Optionally add an additional mobile phone number for us to contact you on.