2013 CANADIAN CHAMPIONSHIPS CD-ROM ORDER FORM

NAME:

EMAIL ADDRESS:

DISCIPLINE:

AGE GROUP:

T&T	MAG	WAG	RG

NAME OF GYMNAST:

MAILING ADDRESS:

STREET:

CITY:

PROVINCE:

POSTAL CODE

CHECK TO HAVE A PROOF SHEET EMAILED:

QUESTIONS/COMMENTS:

Pricing will be $50/gymnast + $5 shipping in a cardboard mailer + 13% HST (Ontario).

Payment accepted: Visa, Mastercard, Cheque, Money Order, and PayPal. Details will be sent with your order verification.