Please note that the price for the hat is $10.00 (plus shipping). The Foundation hat is black with the pink ribbon and white writing as pictured. Proceeds from this purchase go to the Kelly Shires Breast Cancer Snow Run.

First Name:_______________________________________

 

Last Name:_______________________________________

 

Address:_________________________________________

 

Address 2:_______________________________________

 

P.O. Box #:_________________        Apt. #_____________

 

City:______________________         Province:___________

 

Postal Code:______________

Telephone number:__________________________________

 

Fax Number:____________________            e-mail:__________________________

 

I wish to order ______ hat(s) @ $10.00 each plus $5.00 shipping. I am enclosing my cheque or money order for $_____________

 

Please issue cheques to and MAIL order request & cheque to:

 

FACTORY RECREATION

347 Cranston Crescent

Midland, Ontario

L4R 4K6

 

Your order will be shipped with 1 week of receiving your payment.