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
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: