Polo shirt ordering

After fulfilling five final wishes volunteers are entitled to receive their own Ambulance Wish Western Australia polo shirt – rather than having to borrow a shirt for the duration of a wish.

This form can also be used to order a shirt if you would choose not to wait, or wish to donate the cost of the polo shirt.

Order form

Name
Address
Generic (with buttons)
Female cut (without buttons)

Please ignore the following section if ordering a polo shirt through the rewards programme.

I wish to purchase (or donate) $34.99 for a polo shirt:
Price: $34.99
Please ensure you have selected the appropriate size above.
$0.00
polo shirt