ALDHA STORE order form

ALDHA Store order form

To purchase any of the items shown in the ALDHA Store,
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 ____________________________________

SHIPPING CHARGES

Subtotal

$0 - $3

$3.01 - $14

$15 - $30

$31 - $50

$51 and up

Shipping

$1.50

$4.00

$8.00

$11.00

$15.00

QUANTITY (fill this in)	ITEM	SIZE S, M, L, XL, 2XL	PRICE	SUBTOTAL (fill this in)
	Wicking T-shirt		$ 21.00
	Fleece Vest		$ 33.00
	Nylon Jacket		$ 35.00
	Short-sleeve T-shirt		$ 16.00
	Long-sleeve T-shirt		$ 19.00
	Ball Cap	n/a	$ 15.00
	Coaster	n/a	$ 11.00
	Mouse Pad	n/a	$ 11.00
	Katahdin paperweight	n/a	$38.00
	Katahdin pin	n/a	$10.00
	Springer paperweight	n/a	$38.00
	Springer pin	n/a	$10.00
	Neck Wallet	n/a	$ 5.00
	Bumper Stucker	n/a	$ 1.50
	Window Sticker	n/a	$ 1.50
	ALDHA Patch	n/a	$ 3.00
	Ga. Pocket Profile Map	n/a	$ 2.00
			SUBTOTAL:
		See chart above	SHIPPING:
			TOTAL: