Proceeds from the purchase of these kits will go towards this fundraising effort.Please select your first aid kits, plus those from your friends, family and work colleagues.

PLEASE SUPPORT OUR FUNDRAISER!

@ $5 @ $10 @ $10 @ $10 @ $20 @ $20 @ $25 @ $90

CUSTOMERTOTALS

FR101Pocket

Kit

FR202Essential

Kit

FR203Pet Kit

SAFETYHAMMER

SOLARHAND

CRANKRADIO

FR301Auto Kit

FR302Family

Kit

FR501Survival

Kit

INDIVIDUAL ORDER FORM

Thank you for your support!

CanadianSafety Supplies

SCHOOL NAME /GROUP NAME:

1

2

3

4

5

6

7

8

9

10

11

EssentialFirst Aid Kit

PetFirst Aid Kit

AutoSafety Kit

FamilyFirst Aid Kit

FR10

1

FR20

2

Safety HammerSeat Belt Cutter

Solar HandCrank Radio

FR20

3

FR30

1

FR30

2

FR50

1

PocketFirst Aid Kit

2 Person 72HRSurvival Kit

12

GRAND TOTAL

TEACHER NAME /GROUP LEADER:STUDENT NAME /MEMBER:

First Aid Kits - useful and practical gift ideas for everyone. • Quality manufactured first aid kits • Proudly made in Canada • A great gift showing you care

* If paying by cheque, make it payable to School/Group name

Name

Address

Phone

EX 2 2 11 $ 140

$

$

$

$

$

$

$

$

$

$

$

$

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

JOHN SMITH123 AVENUE, CITY, PROVINCE, POSTALCODE

555-555-5555

www.canadiansafetysupplies.com

3500

65

Emergency Food Rations

CSS

050

Emergency Food & Water Pack

@ $10.95 @ $22.95

Emergency Food

Rations

Emergency Food

& Water Pack