Member Merchandise Order Form

= Required field

Your Details

Title:

First Name:

Last Name:

Mailing address:

City:

Province:

Postal Code:

Email Address:

Contact Phone #:

Please include area code

MeRchandise

Please check the items you want and include cost in your payment.

Payment Information

Date cheque mailed:

Total amount of cheque:

Submit ORDER

Please check your information before submitting.

Email a copy to yourself

Please return your cheque by mail to:

HARBOUR CITY YACHT CLUB,
P.O. BOX 5936, STATION A, TORONTO, ONTARIO M5W 1P3

Or by hand to any committee member