ACBVA Swag - American Council of the Blind of Virginia

First and Last name *

Street Address *

Apartment, suite, etc

City

State

ZIP / Postal Code

Home Phone

Cell/Text

Email Address *

Confirm Email Address *

Choose from items below.Tote bag – $25 + $5 shipping per orderT-shirt – $25 + $5 shipping per order

How many Tote bags?

How many T-shirts?

T-shirt Size(s)

Total you will be paying.

Payment method. I will: *use credit/debit card payment button on confirmation page.mail a check to address on confirmation page.Use Zelle (see confirmation page)phone call to Theresa (number on confirmation page).