CDs, CAPS, SHIRTS and SWEATSHIRTS WITH MT. HOOD KIWANIS CAMP NAME OR LOGO

To order by mail, fill in this form. Print it from your computer and mail, along with check or money order, to:

Mt. Hood Kiwanis Camp
9320 SW Barbur Blvd., Suite 165
Portland, OR 97219

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Last Name
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Phone Number

Ship to if different from above:

First Name
Last Name
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State, Zip
Phone Number

ITEM	COLOR	SIZE	PRICES EACH	UNITS	$SUB TOTAL	WEIGHT EACH	WEIGHT SUB-TOTAL
Camp CD	N/A	N/A	$5.00			4 oz.
Cap 1	Black	One Size	$15.00			6 oz.
Cap 2	Green	One size	$15.00			6 oz.
Cap 3	Green/blue	One size	$15.00			6 oz.
Cap 4	Black/Visor	One size	$15.00			6 oz.
Shirt 1	Khaki-LS		$25.00			1 lb.
Sweatshirt 1	Black		$40.00			1 lb. 8 oz.
SUBTOTALS
POSTAGE
Postage and Handling: 1 pound=16 ounces Less than 1 lb.=$5.35, 1 lb. to 1 lb. 15 oz.=$5.75, 2 lbs. to 2 lb. 15 oz.=$6.00 3 lbs to 3 lbs 15 oz.=$6.25, 4 lbs. to 4 lbs 15 oz.=$6.50
Check enclosed made payable to Mt. Hood Kiwanis Camp
VISA/MC, AMEX, DISCOVER #____________________Expiration Date__ / __ / __
Signature___________________________Date________
Please allow 3 to 4 weeks for delivery