| To order, print
this page and mail it along with your check payable to
Miami
Valley
Chapter NCRS to
Greg Gorniak, 624 Southern Belle Blvd., Beavercreek, Ohio 45434. |
|
NAME_________________________ |
DATE__________________ |
| The official club
color is Birch and all items will have our Chapter logo. For special
requests, contact Special T's at (937) 433-4840. |
| ITEM |
SIZE |
PRICE |
QTY. |
AMOUNT |
| Polo Shirt (Men's Cut) -Birch |
|
$40.00 |
|
$ |
| Polo Shirt (Ladies' Cut) -Birch |
|
$40.00 |
|
$ |
| Long Sleeve Denim Shirt |
|
$30.00 |
|
$ |
| Short Sleeve Denim Shirt |
|
$29.00 |
|
$ |
| Ball Cap - Indicate
colors. _________ |
---- |
$18.00 |
|
$ |
| Nylon Coach Jacket -Emerald
blue |
|
$40.00 |
|
$ |
| Three Season Jacket -Emerald
blue |
|
$75.00 |
|
$ |
| T-Shirt -Birch |
|
$22.00 |
|
$ |
| Cooler (12 Pack)-Black |
---- |
$30.00 |
|
$ |
| Straw Hat
(Circle band color -white, red or blue) |
---- |
$26.00 |
|
$ |
| Band only
(Circle band color -white, red or blue) |
---- |
$11.00 |
|
$ |
| Tote (15" X 16") -Natural/Navy |
---- |
$17.00 |
|
$ |
| Sweatshirt -Blue |
---- |
$35.00 |
|
$ |
| Add First Name ______________ |
---- |
$ 3.50 |
|
$ |
| Add First & Last Name
___________________________ |
---- |
$ 5.50 |
|
$ |
| Special
Instructions: |
TOTAL |
$ |
