CYC ORDER FORM

 

DATE________________

 

NAME_________________________________________________________

 

ADDRESS______________________________________________________

               street       

_____________________________  ____________  _____________

city                                                                             state                               zip

 

PHONE_________________________________

             area code            number

 

Item #

Description

Color

Size*

Price**

Quantity

Total Amount

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

         

 

 

 

 

 

 

 

 

 

 

       

 

 

 
........send to Linda Norton with your check or order directly from the Bent Needle

 

*Add $1.50 for size 2XL, $3.00 for size 3XL.

**Includes cost of embroidery.

***Can only embroider with yacht club name (no burgee logo).