 |
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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