Please
mail this form to: |
|
Donna
Gobrecht |
|
|
|
|
|
419
Deerfield Drive |
|
|
|
|
|
|
Hanover, PA 17331 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Make checks payable to Kevin Gobrecht Memorial Fund |
|
|
|
Merchandise will be sent to address on check unless noted otherwise |
|
|
|
|
|
|
|
|
|
|
Quantity |
Description |
|
|
|
|
price |
total |
|
|
|
|
|
|
|
|
|
G-Man Shirt
Adult Small -
4XL |
$20.00 |
|
|
Memorial Photo & Fact Sheet |
|
|
$1.00 |
|
|
shipping |
add $2.00 for orders
less than $10.00 |
|
|
|
|
add
$5.00 for orders $10.00 or more plus $5.40 per shirt |
|
|
|
|
|
|
|
Customer Name |
|
|
|
|
Phone Number |
|
|
|
|
Email |
|
|
|
|
|
|
|
|
|
Total |
|
|
Questions contact Donna at
donnagobrecht@kevingobrecht.com |
|
|