Order Form
Print and fill out this form,
enclose a check or money order, include your shipping
address and mail to: Children's Liver Association for Support Services,
27023 McBean Parkway #126, Valencia, CA 91355.
Allow 2 weeks for delivery. Sorry! No
International orders at this time. Totes or T-Shirts are
FREE while they last with a minimum $20
donation.
|
ITEMS |
Unit
Price |
Size/Color |
Quantity |
Total |
|
C.L.A.S.S. Totes |
FREE |
canvas
or white |
|
|
|
C.L.A.S.S. T-Shirt |
FREE |
|
|
|
|
Adult |
|
3XL, 2XL, XL, L, M, S |
|
|
|
Children |
|
L (14/16), M(10/12), S(6/8) |
|
|
|
Gift
of Life Bear |
$10.00 |
|
|
|
|
C.L.A.S.S.
TEA |
$6.00 |
|
|
|
|
C.L.A.S.S.
Mug |
$10.00 |
|
|
|
|
|
| |
|
Shipping |
|
| |
TOTAL |
|
|
S/H T-Shirts or Totes |
Shipping Address: |
|
$3.00 |
No P.O. Boxes Please |
| Each add'l item, add
$1.00 |
|
|
S/H Bears or Tea |
|
|
1-2 items: $3.50 |
Name: |
|
Each add'l
item, add 50¢ |
Street Address: |
|
S/H Mugs |
City, State, Zip:
|
|
1-2 Mugs: $5.00 |
Phone: |
|
3-4 Mugs: $8.00 |
|
|
5-6 Mugs: $11.00 |
Children’s Liver Association for Support
Services
27023 McBean Parkway #126
Valencia, CA 91355
Toll-free: 1-877-679-8256
Local phone/fax: (661) 263-9099
Terms of Use
Contact Us
|
