EVENTING CANADA [!] MERCHANDISE ORDER FORM
www.eventingcanada.com 

ITEM

COLOUR

SIZE

PRICE

QUANTITY

Fleece Top 

Black

  L        

$50.00

 
   

  XL

$50.00

 
 

Turtleneck

White

  M

$25.00

 
   

  L

$25.00

 
   

  XL

$25.00

 
 

Sweatshirt

Grey

  M   

$25.00

 
   

  L

$25.00

 
   

  XL

$25.00

 
 
 

Black

  M   

$25.00

 
   

  L

$25.00

 
   

  XL

$25.00

 
 

T-Shirt

White

  L

$20.00

 
   

  XL

$20.00

 
         
 

Black

 

$20.00

 
   

  XL

$20.00

 
 

Lapel Pin

   

$3.00

 

Watch

   

$60.00

 
 

ORDER TOTAL:

 

SHIPPING:

$5.00

TOTAL:

 

I ENCLOSE A CHEQUE FOR: $_________________

Name: _____________________________________________

Delivery Address: (box numbers please)
_____________________________________________________
______________________________________________________

Postal Code: _____________________

 

Tel: __________________________

Fax: ___________________________

Email: ____________________________________________________________

Website: _________________________________________________________

Mail this form to:
Arthur Tateishi
Eventing
Canada [!]
40 Fima Crescent
Toronto, Ontario
M8W 3P9

VISA ORDERS:
Full name on card:
_____________________________________________
Card number: _____________________________________________
Expiry Date: _____________________________________________

__________________________________________________________
(signature)