To print this form, click the printer icon on your browser or click File, then Print.
| QTY | Item | Size | Price | Total |
| _____ | 2008 Harbour Lights Perkins Island Light |
|
99.00 |
_____ |
| _____ | Kids T-Shirt - M or L | _____ |
11.00 |
_____ |
| _____ | Adult T-Shirt - M, L, XL | _____ |
12.00 |
_____ |
| _____ | Adult T-Shirt - XXL | _____ |
14.00 |
_____ |
| _____ | Adult Polo Shirt - Large, XL | _____ |
25.00 |
_____ |
| _____ | Adult Polo Shirt XXL | _____ |
28.00 |
_____ |
| _____ | Adult Sweat Shirt - Large, XL | _____ |
25.00 |
_____ |
| _____ | Adult Sweat Shirt - XXL | _____ |
28.00 |
_____ |
| _____ | Hat (Adult adjustable) | _____ |
15.00 |
_____ |
| _____ | Coffee Mug | _____ |
5.00 |
_____ |
| _____ | _____ |
|
_____ | |
|
Shipping & Handling per item |
3.95 |
_____ | ||
|
Total Order |
_____ | |||