Collections for those in Recovery
Soberman
Your name (if using PayPal as it appears on credit card)
Shipping & Billing Info - please type in ALL boxes
                 Credit Card Customers are processed with PayPal - when finished click on the <Submit Order> button and you will receive a PayPal Invoice via e-mail usually within 24hrs expect weekends and holidays.                      Check/Cheque and Money Order Customers use this form when finished <print page> and mail with cheque/check. Those who believe their computer is not friendly to forms that get submitted via the Internet  may print friendly printable form  Send either forms to 1096416 Ontario Inc.
                                                                                     811-695 Proudfoot Ln.
                                                                                     London, Ont. N6H 4Y7 Canada


Use only those drop-down boxes needed to select the:  Male or Female - Size - Colour & Number of each item
Disregard the remaining boxes if they are not needed
Your address (if using PayPal as it appears on credit card)
Address if needed or Country other than USA or Canada
City or Town
State or Province
Zip Code or Postal Code
Telephone Number & Area Code
Cat #       Description of Item
10-101A   Adult T-Shirt Soberman or
10-201A   Adult T-Shirt Soberwoman
               Logo across chest area
               Sizes: S-M-L       $18.50

10-111X   Adult T-Shirt Soberman or
10-112X   Adult T-Shirt Soberwoman
               Logo across chest area
               Sizes: XL-XXXXL   $21.50

10-121Y   Youth T-Shirt Soberman or
10-122Y   Youth T-Shirt Soberwoman
               Logo across chest area
               Sizes S-M-L-XL    $15.50

30-101    Adult Ball Cap Soberman
30-201    Adult Ball Cap Soberwoman
             Logo on front of cap
             One Size Fits all    $16.50
Your e-mail address