P O Box 190

Road Town, Tortola

British Virgin Islands


Tel (1) 284 494 2284
Fax (1) 284 494 9008
Email:  humane@surfbvi.com
Web Site: www.bvihumanesociety.org

ORDER FORM

Please print this form and mail it snail mail to the address listed above.

 

Name: ____________________________________________________________

Address __________________________________________________________

___________________________________________________________________

Telephone: Home ___________________ Work __________________________

Fax ____________________ e-mail ______________________________________

T-Shirt Style #1 - - Quanity_______ Sizes____________________@ $22.00 each = _________________

T-Shirt Style #2 - - Quanity_______ Sizes_____________________@ $22.00 each = _________________

Tank Tops - - Quanity_______ Sizes_____________________@ $15.00 each = _________________

Tote Bags - - Quanity_______ Sizes_____________________@ $10.00 each = _________________

Amount enclosed _________________ Date ________________________

Please return the form with your cheque or Money Order for the relevant amount, made payable to:

The Humane Society of BVI 

THANK YOU!