Glen Rock Sesquicentennial   ORDER FORM

Fill in the form, Print, and mail with check to:
Glen Rock Sesquicentennial
55A Main Street
Glen Rock, PA 17327

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	Qty:	Qty:	Qty:	Qty:	Cost:
Baseball Caps with LOGO at $20 each	TAN	BLACK	CAMO
3-button Golf Shirt at $24 each (SAND color)	Small	Med	Large	X-Large
3-button Golf Shirt at $26 each (SAND color)				XX-Large
3-button Golf Shirt at $24 each (FORREST GREEN color)	Small	Med	Large	X-Large
3-button Golf Shirt at $26 each (FORREST GREEN color)				XX-Large
3-button Golf Shirt at $27 each (ROYAL BLUE color only)				XXX-Large
Children's T-Shirt at $10 each (AZALEA color)	X-Small	Med	Large
Children's T-Shirt at $10 each (TANGERINE color)	X-Small	Med	Large
Children's T-Shirt at $10 each (ROYAL BLUE color)	X-Small	Med	Large
Adult T-Shirt at $12 each (CHESTNUT color)	Small	Med	Large	X-Large
Adult T-Shirt at $14 each (CHESTNUT color)				XX-Large
Adult T-Shirt at $12 each (PISTACHIO color)	Small	Med	Large	X-Large
Adult T-Shirt at $14 each (PISTACHIO color)				XX-Large
Adult T-Shirt at $12 each (CEDAR RED color)	Small	Med	Large	X-Large
Adult T-Shirt at $14 each (CEDAR RED color)				XX-Large
Adult T-Shirt at $16 each (ROYAL BLUE color only)				XXX-Large
Limited Edition 1876 Glen Rock Boro Map Reproduction at $17 each
Stock Certificates at $10 per share
Merchandise Total:
Click here if you are a PA Resident PA Tax on maps only:
Shipping & Handling: 1-2 shirts/caps: $5, 3-5: $8, more than 5: $8 + $1 for each extra item, map: $5, stock certificate: $2				Shipping & Handling:
Make check payable to  "Glen Rock Sesquicentennial"  for:
NOTE:   $30.00 fee for all returned checks. Anyone placing an order to be shipped out of the USA, should inquire at glenrockotts@comcast.net for the shipping costs before placing your order.	Merchandise will be mailed to:   YOUR NAME STREET ADDRESS CITY,  STATE  ZIP     PHONE NUMBER: