Ataxia-Telangiectasia - "ay-TACK-see-uh Teh-LAN-jick-TAY-sha"

 

Hunter Kemper T-Shirt Order Form
Enter the number of each size you would like to purchase in the box next to the size.
Bill to: FIRST NAME  *
Bill to: LAST NAME  *
Bill to: STREET ADDRESS (No PO boxes)  *
Bill to: CITY  *
Bill to: STATE  *
Bill to: ZIP  *
Email Address  *
SHIP TO SAME AS BILL TO
 *
Ship to: NAME
Ship to: STREET ADDRESS (No PO Boxes)
Ship to: CITY
Ship to: STATE
Ship to: ZIP


SMALL - OUT OF STOCK
MEDIUM
LARGE
XLARGE
TOTAL # ADULT SHIRTS @ $20 = $


YOUTH XSmall: Size 2-4
YOUTH SMALL: Size 6-8
YOUTH MEDIUM: Size 10-12
TOTAL # OF YOUTH SHIRTS @ $15 = $

ADDITIONAL DONATION OF = $
SEND THIS MESSAGE TO HUNTER
TOTAL PURCHASE/DONATION AMOUNT = $  *


The A-T Children's Project is a non-profit organization that raises funds to support and coordinate first-rate biomedical research projects, scientific conferences and a clinical center aimed at finding a cure or life-improving therapies for ataxia-telangiectasia, a lethal genetic disease that attacks children, causing progressive loss of muscle control, immune system problems, and a strikingly high rate of cancer, especially leukemia and lymphoma.
The A-T Children's Project is a registered charity in both the United States and Canada.
SecurityMetrics for PCI Compliance, QSA, IDS, Penetration Testing, Forensics, and Vulnerability Assessment

A-T Children's Project, 5300 W. Hillsboro Blvd. #105, Coconut Creek, FL 33073   800.5.HELP.A-T  954.481.6611