Required fields are marked with asterisks (*)

Order Form — Shop Local Shirt Campaign

Long Sleeve Black Crew-Neck Shirt Short Sleeve Black t-Shirt

First Name

Last Name

Telephone Number

Email Address

What do you wish to purchase?

Long Sleeve Shirt ($30)

Short Sleeve Shirt ($20)

Please note:

Each item is final sale.
Payment is due at time of pickup. We accept cash and debit cards.
No delivery is offered, items will need to be picked up at Town Hall (717 Notre Dame Street, Embrun) between 8:30am and 4:30pm Monday to Friday during open hours.
A member of our team will contact you to confirm your order and inform you when it is ready for pickup.

Would you like to provide any additional information?

Form Builder