2004 NOAC Flap Order Form

 

 

Send to:  Grand Columbia Council                 Make Checks Payable to:  Grand Columbia Council

                PO Box 9216

                Yakima, WA  98909

                Phone:    (509) 453-4795

 

Yes!  Please send me the following 2004 NOAC Flaps:

                                                                                                                        Total Prices

 

                                      __________ Fundraising Flaps @ $15/set       $ _________________

 

                                      __________  Contingent Flaps @ $20/set          _________________

                                                                               

                                                                                           Shipping         ____2.00_________

                                                                                  

                                        _______  Additional Shipping @ $.50/set        _________________

 

                                     (WA Residents please add 7.9% Sales Tax)        _________________

                                                                  

                                                                                         Total Cost       $ _________________

 

 

 

Enclosed is $______________ (Check or Money Order)  OR  _____ Charge my VISA/MASTERCARD

 

                                                                                          ACCT #: ____________________________

 

Name: ___________________________________           EXP:    __________

 

Address: ________________________________               Phone:  (   ) ______-____________

 

City/State/Zip: _____________________________________________________________________

 

 

 

 

 

 

PRINT THIS PAGE AND SEND IN TO THE

  GRAND COLUMBIA COUNCIL

  TO GET YOUR 2004 TATALIYA LODGE NOAC FLAPS TODAY!