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Order Form

Type the number of each item you'd like to order in the boxes below.
You will receive confirmation email when you click the submit button below and a receipt email when you pay for your order on the next page.

For orders shipping out of the US, please EMAIL fundraising@atcp.org for additional shipping info.

	Genes Tees: $15 adult sizes
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
#Tees x $15 =

	Genes Tees: $15 Adult sizes
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
#Tees x $15 =

	$5 Jeans Ribbon Awareness Lapel Pin with rare disease info card
# Pins x $5 =

	Classic A-T Performance Wear Polo: $35 ea
Adult Small
Adult Medium
Adult Large
Adult XL
# Polos x $35 =

	Performance Wear Hooded Tee: $35
Adult Small
Adult Medium
Adult Large
Adult XL
# Hooded tees x $35 =

	$25 Fashion Tees: "I ♥ someone with A-T" Ladies layered longsleeve; Unisex shortsleeve
Ladies Long Sleeve Sm
Ladies Long Sleeve Med
Ladies Long Sleeve Lg
Ladies Long Sleeve XL
Ladies Long Sleeve XXL
Unisex Sm
Unisex Med
Unisex Lg
Unisex XL
Unisex XXL
#Tees x $25 =

	$25 Fashion Tees: "hope is where it's A-T" Unisex short sleeve; Ladies long sleeve
Unisex Sm - OUT OF STOCK
Unisex Med
Unisex Lg
Unisex XL
Unisex XXL
Ladies Long Sleeve Sm
Ladies Long Sleeve Med
Ladies Long Sleeve Lg
Ladies Long Sleeve XL
Ladies Long Sleeve XXL
#Tees x $25 =

	$25 Fashion Tees: "kids. hope. cure." Ladies black V-neck; Unisex longsleeve black; Unisex shortsleeve white; all with A-TCP "grunge" logo above the hem
Ladies V-Neck Sm
Ladies V-Neck Med - OUT OF STOCK
Ladies V-Neck Lg
Ladies V-Neck XL
Ladies V-Neck XXL
Unisex White Sm
Unisex White Med
Unisex White Lg
Unisex White XXL
Unisex Black Long Sleeve Sm
Unisex Black Long Sleeve Med
Unisex Black Long Sleeve Lg
Unisex Black Long Sleeve XL
Unisex Black Long Sleeve XXL
#Tees x $25 =

	$35 Performance moisture-wicking tee: "RUN for A-T kids who can't" with A-TCP kids. hope. cure. logo on the upper back
Unisex Sm
Unisex Med
Unisex Lg
Unisex XL
Unisex XXL
#Tees x $35 =

	$40 extra soft full-zip hoody with A-TCP kids. hope. cure. logo above the heart
Unisex Sm
Unisex Med
Unisex Lg
Unisex XL
Unisex XXL
#Hoodies x $40 =

	$10 A-T Logo Golf Balls: 3 balls to a sleeve
# Sleeves x $10 =

	$15 each; Black cap with A-TCP "kids. hope. cure." logo; White cap with A-TCP logo
Black cap
White cap
#Caps x $15 =


# of Beanies x $20 =

	A-T CureTeam Car Decal: 2/$5
# Prs of Decals x $5 =

	A-T CureTeam Car Decal: 2/$5
# Prs of Decals x $5 =

	$5 A-TCP Car Magnet; 5.75" round
# Car magnets x $5 =

	$20/5 Pack: A-TCP Grocery Totes
# Pks of 5 x $20 =

	$5 for a pair of silicone A-T "kids. hope. cure." Awareness Bands
# Prs of Bands x $5 =

	$7 A-T logo adjustable silicone bracelet with silver clasp
# Bracelets x $7 =

	$5 "kids. hope. cure" necklace
# KHC necklaces x $5 =

	$10 A-T Hearts of Hope silver rings
Size 7
Size 8
Size 9
Size 10
# Rings x $10 =

	$12 plain A-T Silver Key Ring: $15 engraved with maximum of 8 characters (ships separately)
# Plain Key Rings x $12 =
# Engraved Key Rings x $15 =
Engraved with: 8 characters maximum

	$25 2-Tone A-T Key Ring; silver and gold plated
# 2-Tone Key Rings x $25 =

	$25 A-T gold plated money clip
# Money clips x $25 =

	$72 Sterling silver A-T toggle bracelet
# Silver bracelets x $72 =

	# of necklaces x $90
# Silver Necklaces x $90 =

	$173 2-Tone Silver 14 carat Gold A-T Necklace with 18" chain
# 2-Tone Necklaces x $173 =

	$15 Notecards: "Kids with rare diseases like ataxia-telangiectasia deserve first-rate research" 20 cards and envelopes
# Notecards x $15 =

Bill to: NAME		*
Bill to: STREET ADDRESS (No PO Boxes)		*
Bill to: CITY		*
Bill to: STATE/ZIP		*
EMAIL ADDRESS		*
PHONE: xxx-xxx-xxxx		*

SHIP TO SAME AS BILL TO	YES NO	*
Ship to: NAME
Ship to: STREET ADDRESS (No PO Boxes)
Ship to: CITY
Ship to: STATE/ZIP

I would like to make an additional donation of $
Please add $5 to your order for shipping/packing
TOTAL: Order + $5 shipping + add. donation if applicable		*
Click SUBMIT to continue to payment page