Angels Abreast Dragon Boat Team
Box 156, Station A,
Nanaimo, B.C. V9R 5K9

Order Form
(Please fill in the form below, print it out and mail it with your cheque to the address above
Please make your cheque payable to Nanaimo Dragon Boat Society)

Please indicate your choice of merchandise and number of items:

Item Number of item Price per item Total
Bears
$20.00
Bracelets
$3.00
Magnetic Ribbons
$5.00
Pins
$5.00
Total Order:
Name :

Address (mailing):

City/Province : Postal Code:
Phone: (optional)

E-mail: (optional)

You cannot submit this form on-line. We ask that you print it out and send it to us along with your cheque made out to the Nanaimo Dragon Boat Society.

Thank you for supporting our breast cancer dragon boat team!

 

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Team e-mail: angelsabreast@hotmail.com