Reservation Form

Fill the form below to reserve swimming pool merchandise as well as pledges towards different fund raisers. A member of the swimming pool team will contact you on receiving your request.

Item Cost Qty
Cement Bags Rs. 1,000
Limited Edition Tile
Limited Edition Tile Rs. 1,000
10,000 Tile Project Rs. 500
Family Membership Life Rs. 100,000
Individual Membership Life Rs. 50,000
Wall of Fame Rs. 250,000
Your Pledge/Dontation Rs. (any amount)
Swimming Trunks
Swimming Trunk - Mens Range
Size
Qty
Swimming Trunk - Child Range
Size
Qty
T-Shirts Mens Range
Extra Extra Large Rs. 1,000
Extra Large Rs. 1,000
Large Rs. 1,000
Medium Rs. 1,000
Small Rs. 1,000
T-Shirts Boys Range
Large Rs. 1,000
Medium Rs. 1,000
Small Rs. 1,000

Name (required)

Email (required)

Telephone (required with country code)

Post Address (required)

Message/Notes/Instructions