Elite Shine: PLATES FOR A PURPOSE
Please fill out this form to purchase your plate and support the fight against cancer. Orders will be placed as soon as form is received and will take 5-15 business days.
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Quantity: $30/ea
Please Select
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Form of Payment
E-Transfer
Credit (processing fee)
Debit (processing fee)
Cash
Thank you for supporting Plates for a Purpose! Your pre-order helps fund cancer research and care through the Alberta Cancer Foundation.
Submit
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