ORDER FORM

Name	______________________________________
Address	______________________________________
	______________________________________
City	______________________________________
State Code	________
Zip	________

 

Item	Circle Size	Price Ea.	Qty	Total
Doheny 2004 poster	—	$20.00	____	$___.___
Logo (on back) T-shirt	M   L   XL   XXL	$20.00	____	$___.___
Doheny Wood T-shirt	M   L   XL   XXL	$20.00	____	$___.___
			S&H	$4.50
			Total	$____.___

Please allow 4 to 6 weeks for delivery. All funds must be in either check or money order drawn in U.S. Funds. We will only ship within the United States.

Print this order form, fill it out completely, and send it along with your check or money order payable to Southern California Woodie Club:

SCWC
P.O. Box 6272
Huntington Beach, CA 92646

THANK YOU FOR YOUR ORDER!