Order Form

(VIEW ITEMS)

Quantity	Item	Cost	Total
	Patch	$2.00	$
	Window Cling	$1.00	$
	Lapel Pin (Bright Blue)	$6.00	$
	Lapel Pin (Adina's Purple)	$6.00	$
	Child's T Shirt - Small	$10.00	$
	Child's T Shirt - Medium	$10.00	$
	Adult T Shirt - Small	$10.00	$
	Adult T Shirt - Medium	$10.00	$
	Adult T Shirt - Large	$10.00	$
	Adult T Shirt - XL	$12.00	$
	Adult T Shirt - XXL	$12.00	$
	Adult T Shirt XXXL	$13.00	$
If you can include a dollar for each order form, it will help us cover postage and mailing costs. Please include an additional dollar for every 4 shirts. THANKS!			$
		Total Amount Enclosed	$

Ship to:

Name:

Address:

City: State: Zip:

Country:

Please include phone or e-mail in case we have any questions about shipping address.

Phone: E-Mail:

Make Checks payable to NCFAC and mail to:

NCFAC
c/o L. Degen
1612 N. Foote Ave
Colorado Springs, CO 80909

(719) 634-6285

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