T-Short Order Form

Please (1) complete this order form, (2) print the page, and
(3) mail it with your cheque, bank draft or money order to:

Big Heart Rescue Society
T-Shirt Order
PO Box 28030 Can West,
Victoria BC
V9B 6K8

Phone: 604-583-DOGS(3647)
eMail: spiritsmission@shaw.ca

T-Shirt Order Quantity - Small:
Medium:
Large:
X-Large:
XX-Large:
Total Quantity Ordered:
Cost per Shirt:		$15.00 ea. incl. shipping
Total Cost:
Order Paid By:		Enclosed cheque or money order PayPal credit card transaction
Name:
Address:
City:
Province/State:
Postal Code:
Phone:
eMail Address:
We would like to hear from you. Please add comments!
Print out this form, then click Browser Back Button