| 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_______________________ |
| For
special requests, contact Special T's at (937) 433-4840. |
| ITEM |
PRICE |
QTY. |
AMOUNT |
| Tri Power Cover With Logo |
$25.00 |
|
$ |
| Tri Power Cover With Logo & Wording |
$30.00 |
|
$ |
| Desired Wording: |
| Large Round Cover With Logo |
$25.00 |
|
$ |
| Large Round Cover With Logo &
Wording |
$30.00 |
|
$ |
| Desired Wording: |
|
Example of Wording Under Logo:
Miami Valley Chapter
Turbo-Jet 427
3 x 2
400 Horse Power |
| Available Colors:
(Please circle color choice.) Yellow - Red
- Black - Royal Blue - White -
Light Green - Dark Green |
| Special Instructions: |
TOTAL |
$ ____________ |
