DFM Order Form

[Order T-Shirt] $12 [Sweatshirt] $20 [Race Day Calendar $10] ADD 2.00 Postage & Handling. Please complete the order form below and send check or money order to: Damien's Recovery P.O. Box 281 Glenelg, Md. 21737

Please provide the following information:

First name
Last name
Organization
Street address
City
State/Province
Zip/Postal code
Phone
FAX
E-mail
10% Discount	Student Strider
Size	Quantity
Type
Logo
Calendar	Quantity Calendar depicts race day activities.Available end of October

DFM Order Form

Copyright all rights reserved by Damiens Recovery a not for profit organization. Last revised: March 23, 2001

Copyright all rights reserved by Damiens Recovery a not for profit organization.
Last revised: March 23, 2001