WCA 2005 Nationals Merchandise Order Form

            Size/Quantity                       Unit Cost       Total Cost
Tee Shirts:

Red:        M__   L__   X__ XX__    Other____   $15.00            $

Green:      M__   L__   X__ XX__    Other____   $15.00            $

Teal:       M__   L__   X__ XX__    Other____   $15.00            $

Sweatshirts:

Blue:       L__   X__   XX__    Other____       $25.00            $
 
Tan:        L__   X__   XX__    Other____       $25.00            $

Embroidered Shirts (Button-down, long sleeve):

Denim:      M__   L__   X__ XX__    Other____   $37.00            $

Natural:    M__   L__   X__ XX__    Other____   $37.00            $_____________

                                                    Order Total:



Name:________________________________________________________________

Address_______________________________________________________________

City_____________________   State_______________     Zip____________

Phone________________   Email__________________________________________

Paid:  Yes   No

____    I will pick up during the National Specialty in May

____    I will arrange for Pick-up when ready

____    Please Ship when Ready (Shipping costs will be added to total).
                    (Shipping  costs = $5.00 per garment)

Fax Order form to Patti Engle at 540-937-8983