One Family · Bound By Light · United As One

MASONIC FAMILY POLO-SHIRT
FUNDRAISING DRIVE

Mindoro Island Chapter No. 134 — Order & Registration

1 Sample Design

Polo shirt design animation — Front & back design preview

₱800.00 per shirt · fundraising price

2 Size Chart

Measure width (chest, armpit to armpit) and length (shoulder to hem) against an actual well-fitting shirt to pick your size.

3 How to Pay (GCash)

Amount ₱800.00 × number of shirts

Open your GCash app and tap Scan QR (or Pay Bills → Scan).
Scan the QR code above and confirm the recipient name reads DJ*N BI*Z V* S.
Enter the amount: ₱800 × the number of shirts you're ordering.
Send the payment, then screenshot the confirmation receipt (it shows a Reference No.).
Copy the Reference No. from your receipt into the form below — this confirms your payment.

4 Order & Registration Form

Full Name *

Chapter / Lodge *

Membership No.

Contact Number *

Shirt Size *

Quantity *

Delivery / Pickup Address *

🚚 Fulfillment Notice: The ₱800.00 acquisition price pertains solely to the fundraising merchandise. Freight, courier, and final-mile delivery tariffs dictated by the recipient's location are not absorbed by the fundraising campaign and must be defrayed independently by the buyer.

GCash Reference No. (from your payment receipt) *

Must be the exact Reference No. from your GCash receipt (10–13 digits). Orders without a valid reference cannot be submitted.

Total Amount Due ₱800.00