• $25 or more qualifies for a gift of one T-shirt and two stickers.
• $50 or more qualifies for a gift of two T-shirts and two stickers.
• $75 or more qualifies for a gift of three T-shirts and two stickers.
• $100 or more qualifies for a gift of four T-shirts and two stickers.

T-shirts are available in the following childrens' and adult sizes:

Adult sizes: XL, L, M, S
Child sizes: 6-8, 10-12
Note: Adult small fits child 14-16

Amount of your contribution: $___________

Specify the size(s):  __________________________________________

Name:  ______________________________________________

Address:  _____________________________________________________

_____________________________________________________________

E-Mail: ______________________________________________

Phone number(s): _______________________________________________ 

Make your check payable to “Bantransfats.com." Mail this form with your check to: BTF, 3701 Sacramento Street, Box 500, San Francisco, CA 94118.

Thank you for your contribution.
MAKE A COPY OF THIS FORM FOR YOUR RECORDS.

BanTransFats.com, Inc. is a California non-profit corporation. We are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Consequently, your donation is tax deductible.