We would be more than happy to accept your t-shirt purchase or donation via cheque. Please print this page and complete the order form. Please make cheques payable to Chiros Care. If you would like a receipt for your donation, please make your cheque out to Princess Margaret Hospital Foundation with the notation "Chiros Care" .  

Chiros Care
Qty.
Size: S,M,L,XL

Cost: $15 each

Total

Your Name:

Your Address:
Total including $10 shipping:
Thank You For Your Support!
Chiros Care, 593 Head Street, Strathroy, ON, N7G 3H7