FRIDAY 27th of September 2019

Registration form
To confirm your company or group support, please complete the registration form below and return via e-mail
to info@pals.bm or by fax to 236-7250. For any additional queries please call 236-7257.

Name of Organization/School:

Contact Name:

Address:

Phone: Fax:

Email: Approximate Number of Participants/Stickers:

MAD HAIR DAY Sticker - A donation of $5.00 is required per adult and $2.00 per student

Stickers can be delivered for a minimum order of 10 participants or you may pick up our office, please indicate which you
would prefer. Delivery can be done up until the 26th of September 2019.

Delivery Pick Up

Method of payment:

1. By cheque payable to P.A.L.S. – P.O. Box DV 19, Devonshire DV BX, please make sure you indicate it is for
Mad Hair Day/Denim Day.
2. Via P.A.L.S. Web Site – www.pals.bm.
3. On-line – BNTB – 20-006-060-719330-100 – indicating it is for Mad Hair Day/Denim Day.
4. By hand to P.A.L.S. at 18 Point Finger Road, Paget, Mon – Fri. 9 - 5 p.m.

□ Please tick this box, if you do not wish your photo’s to be used or shared by P.A.L.S.