Escape Now

Duck Race T-Shirt Order Form ($10 each)

Please use this form to indicate the number and size of T-Shirt(s) you want to purchase. When you're finished, simply hit "send" and our staff will contact you to finalize your order. Thank you for supporting The Center for Prevention of Abuse and helping to end abuse in the Heart of Illinois.

If you have questions, please do not hesitate to contact Carla at:
(309)691-0551 or by mail at PO Box 3855, Peoria, IL 61612.

Please provide us your contact information:

  Name:

  Phone Number:

  Email Address:

Specify the number and size of T-Shirt you want:

    Qty.                                     Qty.
   Kids Medium       Kids Large

   Adult Small         Adult Medium

   Adult Large         Adult X-Large

   Adult XX-Large

 

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