Name *

First Name

Last Name

Phone *

(###)

###

####

Shipping address *

If your billing address is different, enter it into the (Misc. order details or billing address) box below.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Resources to purchase *

New Baby Dad's Manual (plain white) $1.65 each

New Baby Dad's Manual (Blue car version) $2.00 each

Dad's Playbook Magazine $1.75 each

Chosen shipping *

Canada Post

Purolator

Pick-up at supplier (only pay for product and handling)

Payment options *

I paid with a credit card over the phone at 780-429-4787 (8:30am-4pm Mon-Fri) and have entered my payment confirmation number and name of person who took payment in the boxes below.

I emailed programassistant@ahvna.org to set up a time to pay with credit card over the phone and will follow-up this form with an email with the payment confirmation number and the name of who took payment to coordinator@abdads.ca

After sending this order, I will send a cheque payable to AHVNA C/O AFII to #170 14315-118 Avenue Edmonton AB, T5L 4S6, adding the "date and AFII resource order" on the cheque. Knowing that I will receive an email confirmation/invoice right away and that my order will be shipped once the cheque has cleared.