Mosquito Merchandise Order Form
(Print this page, fill out your order, and mail to address below)
ORDER FORM |
DESC |
QTY |
PRICE |
TOTAL |
|
NAME: |
1. Tie-Dyed Dog Tag | 4.00 | |||
SHIP TO ADDRESS: |
2. Slap-On Reflectors | 4.00 |
|||
(hand delivered when possible) |
3. Sunglasses | 3.00 |
|||
PHONE NUMBER: |
4. Car Window Cling | 2.00 |
|||
PAYMENT METHOD: |
Card #: | 5. Lanyards | 7.00 |
||
Cash, check, Visa and MC |
Exp Date: | 6. Beads | 2.00 |
||
| 7. Team Mosquito Flying Disks | 1.00 |
||||
| 8. Team Mosquito Ducks | 3 for 1.00 |
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Tax (5%) |
|||||
S&H - $1.00 per order, 0 for hand delivery |
S&H |
||||
Signature for credit card orders only |
Total |
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Mail orders to:
Bailey Recognition Products, PO Box 308, Fairfax, IA 52228
or hand deliver to team Mosquito members, Jenny Bailey or Ron Williams.
ALL PROCEEDS BENEFIT MOSQUITO PROJECTS AND EXPENSES.