shirts for Haiti

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1-423-624-0011
1-800-882-3375
sales@COSonline.com

Shirts for Haiti

Shirts for Haiti Order Form

Please join COS and the Red Cross of the Greater Chattanooga Area in raising money for the international relief effort in Haiti. The proceeds of our shirt sales will go to help the survivors of the devastating earthquake. Make a donation of $10 or more to receive a shirt. You may order online by completing the form below, or print an order form (PDF) and mail a check payable to the American Red Cross IRF-Haiti.

Thank you for your support!

Date:

Phone #:

Fax #:

Email:

Company Name:

Contact Name:

Street:

City:

State

ZIP:

Delivery Address, If Different:

Delivery Street:

Delivery City:

Delivery State

Delivery ZIP:

I will mail a check to COS.

Mail to: COS - Shirts for Haiti, 1548 Riverside Drive, Chattanooga, TN 37406 (Shirts will not be shipped until the donation check has been received)

I would like to pay by credit card

A COS Representative will contact you regarding your credit card information.

Shirts

	Medium (M) Large (L) Extra Large (XL) Donation of $10 or more
	Medium (M) Large (L) Extra Large (XL) Donation of $10 or more

DONATION:

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