Order Form

Wilderness First Aid Basics & When Help is Delayed Retail Order Form

Visit Our Website:www.transylvaniaredcross.com

Return form by fax (828-883-3829) or call (828-884-4530) Monday-Friday 9-5 EST.

PAYMENT IN ADVANCE. You will be notified of shipping & handling costs.

Indicate payment by: CHECK ____ MONEY ORDER _____PAY PAL____

(Checks payable to: Transylvania County Chapter. Mail to: PO Box 2337, Brevard NC 28712}

E-Mail required for Pay Pal:___________________________________

***Materials will be sent when payment is received.***

ALLOW MINIMUM 10 BUSINESS DAYS FOR ORDER PROCESSING - extra charges for faster delivery.

American Red Cross Chapters - please call for additional information

Attention To: Phone#

Shipping Address:

City State Zip

Today’s Date: ____________ SPECIFIC Date Needed: ___________________ PO#_________________

Requested By: _______________________________Phone #_______________ Fax#_______________

**Each student is required to have a Wilderness First Aid Basic Student Guide, When Help is Delayed Participant Manual, and a Mountaineering First Aid Text

Item Description	Quantity	Retail	Total
Wilderness First Aid Basic Instructor Manual (WFABIM)		22.00
Wilderness First Aid Basic Self-study Guide (WFABSSG)		2.00
**Wilderness First Aid Basic Student Guide (WFABSG)		15.00
Wilderness First Aid Basic PowerPoint CD (WFABPP)		9.50
Wilderness First Aid Basic Instructor Patch (WFABIP)		3.00
Wilderness First Aid Basic Patch (WFABP)		7.00
**Mountaineering First Aid Text (MFA)		14.00
When Help is Delayed Instructor Manual (WHIDIM)		6.00
When Help is Delayed Self-study Guide (WHIDSSG)		2.00
**When Help is Delayed Participant Manual (WHIDPM)		7.00
When Help is Delayed Marketing Inserts (WHIDMI)		2.00
Chapter “Bat” Pin (BP)		5.00
Bat T-Shirt - Short Sleeve (M L XL XXL)		10.00
Bat T-Shirt - Long Sleeve (M L XL XXL)		15.00
Sub Total		$
Shipping and or Handling		$
Total		$

For Office Use Only:

WEIGHT:: SHIP: Regular_____ Overnight_____ 2nd day______ US Mail_______

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