Staff Order Form

Staff Support Package

Name(Required)

First Last

Address(Required)

Street Address City Province Postal Code

Email(Required)

Staff Supporter Package

Price: $ 20.00 CAD

Includes long sleeved shirt, fridge magnet & window decal.

Please select your shirt size. Note the shirts are long sleeved unisex

Total

Credit Card

Card Details

Cardholder Name

Email

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