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Questions..... Velma Showalter - 816-241-4873 - vshowa1146@aol.com

Print out this Order Form and mail in your order. - Please send check for the total amount due..

ITEM PRICE QTY
PURPLE
QTY
WHITE
TOTAL

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SHIRT - PURPLE OR WHITE
Size - Small
 $  25.00       $

SHIRT - PURPLE OR WHITE
Size - Medium
  $  25.00       $

"NEW" SHIRT #1 - PURPLE
  Size - ???
      $
"NEW" SHIRT #2 - PURPLE
  Size - ???
       $
SWEATSHIRT
Tan/Gray
  Size - ???
$    32.00      $
SWEATSHIRT
Purple
  Size - ???
$    20.00      $
VIKING TOTE BAGS $    20.00      $
GOLF TOWEL W/VIKING LOGO   $    2.00     $

REFRIGERATOR MAGNET   $    1.00     $

Water Bottle   $    2.00     $

 License Plate Cover
 White w/Purple Lettering
  $    5.00     $

    Shipping   $     6.50
    Total   $

 

NAME:  
ADDRESS:  
CITY:  
STATE:  
ZIP:  
PHONE:  
EMAIL:  

Make Checks Payable To:   Northeast Alumni Association

Mail To:

Northeast Alumni Assoc.

P. O. Box 1264
Blue Springs, MO 64013-1264

Copyright © 1999 Northeast Alumni Association. All rights reserved.
Revised: September 18, 2008