PANCREATIC CANCER
 Canada

  Order Form for
The Carina Black
Clutch& Folio 		Return to website

Fill on order form below to process order:

E-mail Address*
Name*

Please check-off the item(s)
and the quantity you are ordering .

Clutch and number

Folio and number

How you would like to receive your order?

    
I would like to pick up my order on October 20 at the Moda In Motion Fashion Event
   
I would like to have my order shipped to the below mailing address and I understand shipping charges will be incurred
     

 

Your Mailing Address
& Postal Code

Please note in the description box to the right the amount of your total purchase and check your Method of Payment

  • on-line via paypal
  • by phone with a credit card #

*(when you click on 'Submit Order' button below you will be connected to the payment option page)

Phone Number(s)


* Please submit your name and e-mail address so we can track your order.

National

PANCREATIC

CANCER

Canada

Foundation

  PANCREATIC CANCER Canada

2446 Bank St,
 Suite 656,
 Ottawa, Ontario
 K1V 1A8

1-888-pancan9  or  (1-888-726-2269)

To contact us click on:  Contacts or info@pancreaticcancercanada.ca

Together, we can increase awareness, support research for early detection, improve treatment options and ultimately, find a cure!

Registered Charitable Number:
 84870 1967 RR0001

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