ALDHA Memorabilia Order Form To purchase any of the items shown on the Memorabilia page,
print out a copy of this form and mail it with your check (made payable to ALDHA) to:
ALDHA, 10 Benning St. PMB 224, West Lebanon, N.H. 03784

Name ___________________________________________________Date__________________

Street address __________________________________________________________________

City, State, and ZIP________________________________________________________________

Phone ________________________________ E-mail ____________________________________

QUANTITY (fill this in)	ITEM	PRICE	SHIPPING	COST per item	SUBTOTAL (fill this in)
	25th logo Bandana	$6.00	$0.60	$6.60
	25th Logo T-shirt Select: __M __L __XXL	$10.00	$2.00	$12.00
OUT OF STOCK	Bumper Sticker
	Window Decal:	$1.50	$0.50	$2.00
	Mapdana* __ Section 1 __ Section 3 __ Section 4	$12.95 apiece	$0.60	$13.55
	Patch	$1.50	$0.50	$2.00
	*See description for Sections			TOTAL: