PTC Calendar Order Form 2023

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please select an option from one OR more of the options, below:

Calendar Only (includes shipping)$25.00CAD

Quantity

Bronze Acknowledgement + Calendar (includes shipping)$36.00CAD

Max 4 words - can be filled out below

Silver Acknowledgement + Calendar (includes shipping)$72.00CAD

Max 7 words - can be filled out below

Gold Acknowledgement + Calendar (includes shipping)$118.00CAD

Max 10 words - can be filled out below

Platinum Acknowledgement + Calendar (includes shipping)$180.00CAD

Max 13 words - can be filled out below

Dedication of the Month + Calendar (includes shipping)$118.00CAD

(dedication wording ie. In celebration of, in memory of, in honor of____) Please fill out the field below.

Add-on: Pocket Calendar$5.00CAD

THIS IS AN ADD-ON PRODUCT can't be purchased by itself.

Quantity

Total $0.00CAD

Payment Method

Bronze - Individual or family’s name to be included in the calendar*

Max 3 words (e.g. The Green family)0/4

Silver - Individual or family’s name to be included in the calendar*

Max 7 words (e.g. Mike, Jen, Alex and Josh Green)0/7

Gold - Individual or family’s name to be included in the calendar*

Max 10 words 0/10

Platinum - Individual or family’s name to be included in the calendar*

Max 13 words 0/10

Dedication wording ie. In celebration of, in memory of, in honor of | Month and year requested (MM/YYYY)*

Is your shipping address the same as your billing address?

YesNo

Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

PTC Calendar Order Form 2023-2024