| Your Name: | ____________________________________ |
| Address: | ____________________________________ |
| City/Town: | ____________________________________ |
| Province: | ____________________________________ |
| Postal Code: | ____________________________________ |
| Name of recipient: | ____________________________________ |
|
Complete the address |
below only if you want the gift shipped directly to recipient. |
| Address: | ____________________________________ |
| City/Town: | ____________________________________ |
| Province: | ____________________________________ |
| Postal Code: | ____________________________________ |
| Special membership package with fashion option (hat included) |
___ $23.95 = _________ |
| Basic membership package (hat not included) |
___ $15.00 = _________ |
| Official C.B.D.A. Hat (embroidered logo) |
___ $15.95 = _________ |
| Shipping charges add $5.00 |
= _________ |
|
(free shipping on orders over $50.00) |
TOTAL = _________ |
Please make cheques or money orders payable to Canadian Beer Drinkers’ Alliance Ltd.
Send orders to Canadian Beer Drinkers’ Alliance Ltd. Box 877, Sutton West, Ontario, L0E 1R0
Postage may be higher for orders outside Canada. Please allow four to six weeks for delivery.
Official C.B.D.A. Gift Order Form| Information about recipient required for gift membership letter. Please print clearly. |
| Recipient is of legal drinking age: Yes___ No ___ |
| Sex: M___ F___ |
| Usual first name: __________________ |
| Nickname or pet name: _____________________ |
| Special occasion (e.g. 40th birthday): ________________________________________ |
| Membership is being sponsored by name(s): ___________________________________ |
| Your relationship to recipient (e.g. friend, aunt etc.): _____________________________ |
| Years of beer drinking: _____________ |
| Any special beer related experiences: ________________________________________ |
| _____________________________________________________________________ |
| _____________________________________________________________________ |
| Hobbies/Interests: _______________________________________________________ |
| _____________________________________________________________________ |
| _____________________________________________________________________ |
| Any other information that you might wish to have included in the note from Elmo: |
| _____________________________________________________________________ |
| _____________________________________________________________________ |
| _____________________________________________________________________ |