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Promotional Item Order Form
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
Item Selection
Description
Selection
Qty
Total
Cap:
Baseball Hat
adjustable size $20.00
Color:*
Black
White
Red
Yellow
License Plate
Choose License Plate
Kitpu Flag License plate $20.00
T-shirt
Choose T-Shirt
Small $20.00
Medium $20.00
Large $20.00
X-Large $20.00
XX-Large $20.00
Color:*
Black
White
Red
Yellow
Jacket
Choose Jacket
Small $90.00
Medium $90.00
Large $90.00
X-Large $90.00
XX-Large $90.00
Mug
Choose Mug
Standard size $20.00
Lnu'k: Honour Our Ancestors Book
Choose Book
Paperback letter size $20.00
Kitpu Flag
Choose Flag
standard size $20.00
Sub-Total:
Shipping & Handling:
Choose Shipping Handling
Standard Shipping 1 Item $10.00
Standard Shipping 2 - 5 Items $25.00
Standard Shipping 6 - 10 Items $40.00
Grand Total:
Billing Information
First Name:*
Same name as on your card
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
Apt. or Suite No.
City:*
Province:*
Choose a Province
Newfoundland
Nova Scotia
New Brunswick
PEI
California
Alberta
Ontario
BC
Other
Postal Code:*
Phone:
Shipping Information
Same as billing info*
Yes
No
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
Province:*
Choose a Province
Newfoundland
Nova Scotia
New Brunswick
PEI
California
Alberta
Ontario
BC
Other
Florida
Georgia
Hawaii
Idaho
Postal Code:*
Payment Information
Payment Type*
Credit Card
PayPal
Email Transfer
Donate by PayPal
Donate by Credit Card:
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