My Saver Coupon Booklet Order Form Seller / Group Information:SELECT YOUR GROUP:*–SELECT–Synchro PEIParkside ElementaryStudent's/Athlete's/Seller's Name (Ex. Sara Jane)* Full Name - Your order will be delivered by this person. Teacher's/Coaches Name (Ex. Mr. Reddin)* Classroom/Team (Ex. 7A)* Confirmation:* I confirm that I have selected the correct group above.Failure to select the correct group will result in incorrect shipment and loss of order. ALL ORDERS ARE FINAL SALE.Customer Information:Name:* Full Name Address:* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone:*Email:* My Saver Coupon Booklet Quantity Price: $ 10.00 CAD Quantity CheckoutProcessing Fee: Total $ 0.00 CAD Credit CardCard Details Cardholder Name CAPTCHA Δ
