Golf Merchandise Order Form:

Designer Golf Glove - $ 20.00 - size medium

If you would like to order more than one Designer Golf Glove
enter the pattern style and desired amount in the box below.

Glove Style - Navy    only 1 available.	Glove Style - Pink and Green Motif    only 1 available.
Glove Style - Red Blue Tartan    only 2 available.	Glove Style - Black and White Herringbone    only 2 available.
Glove Style - Purple    only 1 available.	Glove Style - Black and Aqua Motif    only 5 available.
Glove Style - Green Blue Stripe    only 1 available.	Glove Style - Pink and Black Tartan    only 3 available.
Glove Style - Black and White Zebra    only 2 available.	* Enter additional Designer Glove    information and comments below (example): 2 Black and White Zebra

Designer Golf Purse - $ 20.00

If you would like to order more than one Designer Golf Purse
enter the pattern style and desired amount in the box below.

Purse Style - Blue	Purse Style - Brown and Pink    only 6 available.
Purse Style - Green    only 8 available.	Purse Style - Black and Pink Chain Link    only 2 available.
Purse Style - Pink    only 6 available.	* Enter additional Designer Purse    information and comments below (example): 2 Pink

Thank you for supporting the
Women's Health Research Foundation of Canada

Name	(example): Joice Reed
Address	(example): 5623 Thirston Cresent
City	(example): Winnipeg or WPG
Province/PC	(example): Manitoba or MB
Phone	(example): 204.855.6932
Email Address	(example): jreed@example.com

Enter the Total $ order amount:   $ (example): 20.00

Payment Type

Check       - payable to Women's Health Research foundation of Canada

Paypal       - If paying though paypal Credit cards payments available through Paypal please print out the Paypal receipt and: Mail to: P.O. Box 61019, RPO Grant Park, Winnipeg, MB R3M 3X8       or Fax to: Donna @ 474.7682

To receive an invoice enter       a contact email address                                                (example): jreed@example.com

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