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2020 Christmas Hamper Order Form
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Email
*
Your email
PAYMENT FOR HAMPERS IS REQUIRED BEFORE YOUR ORDER CAN BE CONFIRMED.
Are you Organization or Quest Client?
*
Organization
Quest Client
Please complete all fields:
Organization / Quest Client Name: (NO ABBREVIATIONS)
Your answer
Name of individual authorized to order on behalf of the Organization or Quest Client card number:
Your answer
Telephone Number:
*
Your answer
# of Hampers? (CAD $35.00 each)
*
Your answer
Payment Instructions:
Option 01 - PayPal
(Credit Card and Visa Card); submit this order form and pay by PayPal. Your PayPal receipt will be your payment and hamper confirmation
Option 02 - Pay by phone
(Credit Card and Visa Card) 604-602-0186 Ext 3108
Type of Payment:
*
PayPal:
Pay by phone:
HAMPER PICK UP CONFIRMATION
Date, time, and location (to be completed by Quest)
During COVID19, only one individual can come to pick up the Hampers from Quest. Please note mandatory masks and physical distance required.
A copy of your responses will be emailed to the address you provided.
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