Laberge cancer du sein

Item #1
Name: Vintage T-Shirt
Color: Black
Size: Small to 3XL
Price: 8.50 $ (1.00$ will be given to Breast Cancer Fondation)

Item #2
Name: Security T-Shirt
Color: Orange
Size: Small to 3XL
Price: 17.75 $ (1.00$ will be given to Breast Cancer Fondation)

Item #3
Name: Breast Cancer Support T-Shirt
Color: Black
Size: Small to 3XL
Price: 10.00 $ (Total amount of 10.00$ will be given to Breast Cancer Fondation)

Item #4
Name: Hooded sweatshirt
Color: Black
Size: Small to 3XL
Price: 35.00 $ (1.00$ will be given to Breast Cancer Fondation)

Item #5
Name: UV protection Cap
Color: Black or White
Size: One size
Price: 11.00 $ (1.00$ will be given to Breast Cancer Fondation)

Item #6
Name: Key-Ring
Color: N/A
Size: N/A
Price: 3.80 $ (1.00$ will be given to Breast Cancer Fondation)

Item #7
Name: Tote Bag
Color: Black and Green
Size: N/A
Price: 8.90 $ (1.00$ will be given to Breast Cancer Fondation)

Item #8
Name: Duffle Bag
Color: Black
Size: N/A
Price: 28.50 $ (1.00$ will be given to Breast Cancer Fondation)

Item #9
Name: Thermos Tumbler
Color: Black or Green
Size: N/A
Price: 11.50 $ (1.00$ will be given to Breast Cancer Fondation)






Item # or Name Quantity Size Color



I authorize Gestion A. Transport Laberge/Transport Laberge to deduct directly on my payroll the amount showing on this form. I also accept the fact that they will be no refund of the deduction .