CLUB ASSISTANCE

THROUGH

SHOP AND SUPPORT

Please print, complete and return to us:

Name:

Home Phone #:  

Email Address:  

Retailers Used:(There are over 300 Retailers located on www.shopandsupport.ca)

Gas Bar:   

Grocery Shopping: 

Pharmaceuticals:

Eating Out:

Shopping Frequency: (daily, weekly, bi-weekly, monthly)

ORDER FORM

Retailer’s Name

Cycle – weekly,

Monthly etc

$ Value per

card

Quantity

$ Total

1.

2.

3.

4.

5.

6.        
7.        
8.        

 

Signature                

 

Date

Please return to the Club either by:

Fax to:           416.650.0199

Email to:        info@heartssoccer.com

Mail to:           364 Supertest Road #207
                      Downsview
                      M3J 2M2

Drop Off:        To the above address


** All orders have to be inputted before 12:00 Midday on Monday, in order to be guaranteed delivery by Thursday of the same week.

All orders inputted after 12:00 Midday, will be delivered on Thursday of the following week


Site Map | Privacy Policy | Maps | Contact Us | ©2003-2005 North York Hearts Soccer Club

T