PTA Order Form

_____	PTA Patch - $ 3.00 each	________
_____	Teamwork Patch - $ 5.00 each	________
_____	License Plates - $ 1.00 each	________
_____	Life Member License Plates - $ 1.00 each	________
_____	Bumper Sticker @ $ 1.50 each	________
_____	T-Shirt (Blue) - S-XL $10 – XXL $12 – XXXL $13 Size __________	________
______	T-Shirt (Camo) - S-XL $15 – XXL $17 – XXXL $18 Size __________	_________
_____	Belt Buckle @ $ 35.00 each	________
	Sub Total	________
	(Hats & Shirts Excluded) 6 % Sales Tax	________
	Hats, Shirts, License Plates, & Pins - Add $ 2.00 each Shipping Belt Buckles - Add $ 3.00 each Shipping	________
	Total	__________

Check, Money Order, Visa, Master Card and Discover Accepted

Name: ____________________________________

Address: __________________________ Phone: ____________________

City: _____________________ State: ____ Zip: ____________

Card Number: ______________________________ Expiration Date: ________

Card Name: _________ Signature: _______________________________

Send to:

PA Trappers' Assoc.

Ed Price, Treasurer

PO Box 327

Uniondale, PA 118470

Or

Call, fax, or e-mail with credit card info.

570-679-2318

treasurer@patrappers.com