Women's Heart Foundation Order Form
Gifts - Books - Brochures - Jewelry - Gifts - Active Wear
Please print this order form, fill it out and mail it to:
Women's Heart Foundation, PO Box 7827, Trenton, NJ 08628
Prices include postage and handling
Please make checks payable to WHF Thank you!
| ITEM | Cost |
Quantity |
Total |
| Women's Health Tracker wallet card | $1 | ||
| Take Care of Your Heart Brochure | $1 | ||
| Take Care of Your Heart Coffee Mug | $15 | ||
| Take Care of Your Heart Car Magnet | $5 | ||
| Take Care of Your Heart Tote Bag | $25 | ||
| Walking Ribbons Tie or Lapel Pin - limited edition | $12 | ||
| Purple Windbreaker - Child - with WHF embroidered insignia | $35 | ||
| Purple Windbreaker - Adult - with WHF embroidered insignia | $45 | ||
| Purple Visor - with WHF embroidered insignia | $22 | ||
| WHF BOOKS
|
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| Take Care of Your Heart Health & Fitness Manual | $27.00 | ||
| Take Care of Your Heart Recipe Book | $17.00 | ||
| TEEN ESTEEM Recipe Book | $7.00 | ||
| TEEN ESTEEM Health & Fitness Manual | $17.00 | ||
|
Subtotal |
|
$ | |
|
DONATION |
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|
Please make a contribution to support our efforts! |
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|
Donation Subtotal |
$ | ||
|
TOTAL DUE |
$ | ||
Your Name ________________________________________________
Address ___________________________________________________
City ________________________ State _______ Zip Code _________
E-mail: __________________________________ Phone:_________________
Charge it to my: Master Card _____ Visa _____
Name on card: ___________________________________________________
Card number: ___________________________________________________
Expiration date: _________________________________________________