If there's not a circulating one available, I'll be happy to post a Tawdry shirt to Japan. Or Australia. Or wherever.
We could send one to the Australian PM candidate. It would be high fives if he would pose. Maybe after the election...
I can produce more certificates. The albums are (at least were) mostly big envelopes with Tawdry Shirt photos of the prior recipients of that shirt, with the surgery date, some pithy wording, and a signature on the back.
The requirement is that the recipient has a picture taken in the shirt, places a copy with the shirt, and sends it on to the next recipient. It's also nice - but not required - to post your shirt photo - preferrably displaying the scar - on the TOOTS forum.
It's for fun, cameraderie, sharing in the experience, and being in some way able to touch the good wishes and karma of those all over the world who have gone through this life-altering experience with you.
Best wishes,