Print this form, complete,  and return with payment to the address indicated.
Use additional forms if necessary

 
Mail to:
Bob Mains
932 Valleyview Drive
Westerville, Ohio 43081
Make checks payable to:
Buckeye Triumphs

Regalia Order Form

Item (circle color & size)    Price  Qty.  Total
Golf Shirt - Outer Banks - 100% Cotton. Style 17434 - Solid body color with Collar of contrasting color. Logo is embroidered on front.
Colors: Wine 
Sixes: S, M, L, XL, XXL.  XXXL by special order.
$35.00 _______ _______
Golf Shirt - Outer Banks - 100% Cotton. Style 17489 - Solid body color with a striped Collar. Logo is embroidered on front.
Colors:White 
Sixes: S, M, L, XL, XXL.  XXXL by special order.
$35.00 _______ _______
Tee Shirt - Light Grey Cotton.  BT logo on front and large wreath logo on back.
Sizes: S, M, L, XL, XXL.  XXXL by special order

$14:00 _______ _______
Embroidered Logo Patch $10:00 _______ _______
Total from additional pages  _______
Shipping: No charge for logo patch. 
Shirts: $3 for first, $1 for each additional
_______
                           TOTAL _______

Make checks payable to:  Buckeye Triumphs
SHIP TO:
Name ____________________________________________
Street Address ____________________________________________
City, State, ZIP ____________________________________________
Telephone ____________________________________________
email ____________________________________________

Rev. 3/22/2005