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: