I (name of contractor) authorise NZ Post to deduct …

1 NAMEDELIVERY ADDRESSDATEOFFICE USE ONLY:DEPARTMENT ID 152272 AUTHORISING NAME (Please print)AUTHORISING SIGNATUREWEB ORDER NUMBERDATE ORDER SUBMITTEDBASE LAYER (Tight Fit)$$$$$$$$$$$$$ $$ LAYER - TOPS (Relaxed Fit)NZP Sleevel ess Top12248$ S/S Pol o12227$ L/S Pol o16022$ LAYER - BOTTOMS (Relaxed Fit)Cycl e Short with Chamoise12241$ LAYER (Relaxed Fit)NZP Fleece Vest12225$ Fleece Jacket12192$ Spray Jacket12193$ Gloves (Merino Possum Acrylic) 170253 Finger Gloves (Merino Possum Acrylic)$ $ Gloves 16301 17884$ taH hcuolSCYCLE POSTIE ONLY$ PZN$ Merino BeanieSunblock Bottle 1099716013$ $ DESCRIPTION STYLE CODE SIZE RANGE AND QUANTITY PRICE TOTALSTYLE DESCRIPTION STYLE CODE SIZE RANGE PRICE (EXCL )

2 TOTAL $NZP Unisex Wet Weather Jacket 19008$ G Glasses11149$ $NZP Wet Weather Overpant 12219$ $1947812183 SUB TOTALTOTAL$NZP DD Sunglasses16528$ $$19900$ $XXS XS S M L XL 2XL 3XL 4XL 5XL XXS XS S M L XL 2XL 3XL 4XL 5XL XXS XS S M L XL 2XL 3XL 4XL 5XL XS S M L XL 2XL CYCLE POSTIES ONLYW alking Postie OnlyWalking Postie Only$$Unisex Shortt16637$ $ $ $ Boardshort16638 CONTRACT NUMBERI (name of contractor) authorise NZ Post t o deduct payment from my monthly pay for uniform : Date.

3 Please email order to for processing$16826$ Track PantNEW STYLEXXS-XL2XL-5 XLXXL-XL2XL-5XL2XL-5XL$First Aid Kit Refil16023$ $NZP High-Vis Helmet Cover18468$ 2018 PROVINCIAL DELIVERY UNIFORM ORDERING FORM $NZP Unisex Softshell Jacket18539$ 6XL 6XL (Limited Stock Available) 21cm22cm23cm24cm$NZP Merino Mid Calf Sock11178$ $NZP Lightweight 1/4 Zip Fleece19214$ $NZP Unisex (NL) Short19181$ $ (Medium Length)(Limited Stock Available) (Limited Stock Available) (Limited Stock Available) (Limited Stock Available) (Limited Stock Available) 15%$$ Winter L/S Uni Therm Top199596XL $NZP Merino Boot Sock19985$ Winter Neck GaitorNeck Gaitor11013$ $$575960 NZP Uni Thermal trouserNZP light L/S Uni Therm TopNZP Thermo Drink Bottle20148$ $NZP 3 Finger Cycle Glove20000$ $3XL