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RT WEEK
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» Online Order Form
» Promotional Material

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Respiratory Therapists Week
October 24-30, 2010

Online Order Form

There will be no shipping or handling charges for CSRT members who submit their request for material before the end of day on September 21, 2010. Materials requested after this date will require payment of shipping and handling and/or courier charges. As materials are limited and will be shipped on a first-come, first-serve basis, we cannot guarantee availability.

*Please fill out this form completely before submitting.
Please note that required fields appear in Red.

Name:
CSRT Registration Number:

Shipping Address - this section must be completed in order to receive your items.
Hospital/Organization:
Department:
Street:
City:
Province:
Postal Code:
Daytime Phone:
Fax:
E-mail:


RT Promotional Items
*Please only order what you believe you will need, as there is a limited quantity of items.

Please send the following quantities of:

ITEMS QUANTITY REQUIRED Max. Order Amount

Poster and Calendar - English

Poster and Calendar - French

3 max.

Pocket Calendar - English

Pocket Calendar - French

50 max.

Lanyards

15 max.

RT Pins

10 max.
Magnetic Bookmarks - biligual
100 max.
Brochure - biligual
100 max.
Do you wish to receive a banner?
Yes No
 

* Orders will be shipped on a first-come first-serve basis. For more information, please contact Rita Hansen, at 1-800-267-3422.