Please note that the price for the pin is $30.00 (including taxes). The pin is solid sterling silver with enamel. 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 ______ pin(s) @ $30.00 each. I am enclosing my cheque or money order for $_____________

 

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

 

EURO JEWELS

907 Boyer Boulevard

Mississauga, Ontario

L5V 1X3