Heritage Boat Club Merchandise Order Form
Name______________________________________
Street _____________________________________
City ______________ State _____ Zip _________
Telephone _________________________________
Shipping Address (if different)
Street _____________________________________
City _______________ State _____ Zip ________
|
Qty |
Price |
Total |
|
|
Large Burgee (regular member) 20" |
________ |
$20.00 |
$________ |
|
Small Burgee (regular member) 15" |
________ |
$18.00 |
$________ |
|
Associate Burgee (supporting member) 15" |
________ |
$20.00 |
$________ |
|
Lapel Pin |
________ |
$6.00 |
$________ |
|
Blazer Patch (Gold Bullion) |
________ |
$25.00 |
$________ |
|
Festival Tee Shirts: 1998 (specify size) |
________ |
$6.00 |
$________ |
|
Festival Tee Shirts: 1997 (specify size) |
________ |
$6.00 |
$________ |
|
Beverage can "huggy" with HBC logo |
________ |
$2.00 |
$________ |
|
Subtotal |
$________ |
||
|
IL Sales Tax: subtotal times .0775 (7.75%) |
$________ |
||
|
Shipping & Handling |
$3.00 |
||
|
Total Due |
$______ |
Mail this form and your check payable to "Heritage Boat Club" to:
Bob Welther, 4248 W. Montrose Ave., Chicago, IL 60641; telephone 773.736.3410
Please allow 6-8 weeks for delivery time.