<p> MILLION METRES APPLICATION FORM</p><p>Please complete the details below, and forward to the National Office. Please note: For information regarding sizes see back of form.</p><p>Branch</p><p>Name of Swimmer (please print)</p><p>Swimmer’s Club (please print) and Club Code</p><p>Please circle the relevant award: 1 mil 2 mil 3 mil 5 mil 7 mil 10 mil +5 mil intervals</p><p>Please circle your colour selection for either the 1mil 2mil or 5mil metre awards:</p><p>Grey with Black trim Red with Navy trim</p><p>Size of Polo Shirt (1mil/2mil/5mil metre): Bottle with Gold trim Red with White trim (Please circle) Bottle with White trim Maroon with White trim Mens Royal with Gold trim Royal with White trim S M L XL 2XL 3XL White with Navy trim White with Red trim</p><p>Womens Navy with Red trim Navy with Gold trim Navy with Green trim Navy with White trim 8 10 12 14 16 18 20 22 24 Black with Orange trim Black with Red trim</p><p>Black with White trim Black with Gold trim</p><p>Orange with Black trim Light Blue with Navy trim</p><p>Size of Polar Fleece Jumper- (3 mil metre) S M L XL 2XL (Red) </p><p>Size of Polar Fleece Vest (7 mil metre) XS S M L XL 2XL 3XL (Red) LADIES 6 8 10 12 14 16 18 Size of Jacket (10 mil metre) (Black) MENS 12/ 14/ 16/ 18/ 20/ 22/ 24/ 26/ 28/ 30/ XS S M L XL 2XL 3XL 4XL 5XL 6XL I wish to have my own name embroidered on my top Yes No</p><p>Name to be embroidered (please print) ______</p><p>I wish to have my club name embroidered on my top Yes No I confirm that the above named swimmer has complied with all requirements to be eligible for the Vorgee Million Metre Award.</p><p>Signed State Secretary/Administrator</p><p>Date</p><p>Please return this form to: Masters Swimming Australia Level 2, Sports House, 375 Albert Road, Albert Park 3206 Email: [email protected] Fax: (03) 9682 5444</p><p>February 2013 MILLION METRES APPLICATION FORM</p><p>VORGEE Million Metre Award INFORMATION TO ASSIST WITH SIZE SELECTION Measurements are approximate and for guidance only </p><p>POLO SHIRT (1mil 2mil or 5mil Metre Award)</p><p>To Fit S M L XL 2XL 3XL 4XL CHEST 53.5 56 58.5 61 63.5 66 70 LENGTH 71.5 74 76.5 79 81.5 84 83</p><p>Chest measurements (extend from underarm to underarm across the chest) Length measurements (shoulder to base of garment) </p><p>POLAR FLEECE JUMPER- Red (3mil Metre Award)</p><p>To Fit S M L XL 2XL 3XL CHEST 60 62.5 65 67.5 70 N/A C.B. LENGTH 70 72 74 76 78 N/A</p><p>Chest measurements (extend from underarm to underarm across the chest) Length measurements (shoulder to base of garment) </p><p>POLAR FLEECE VEST- Red (7mil Metre Award)</p><p>To Fit XS S M L XL 2XL 3XL CHEST 53 56 59 61 64 66 69</p><p>Chest measurements (extend from underarm to underarm across the chest) Length measurements (shoulder to base of garment) </p><p>JACKET- Black (10mil Metre Award)</p><p>Ladies Sizes To Fit 6 8 10 12 14 16 18 BUST 77 82 87 92 97 102 107 WAIST 56 61 66 71 76 81 88</p><p>Mens Sizes To Fit 12/ 14/ 16/ 18/ 20/ 22/ 24/ 26/ 28/ 30/ XS S M L XL 2XL 3XL 4XL 5XL 6XL CHEST 85 90 95 100 105 110 115 120 125 130 WAIST 77 82 87 92 97 102 107 112 117 122</p><p>Chest measurements (extend from underarm to underarm across the chest) Length measurements (shoulder to base of garment) </p><p>February 2013</p>