2009 Solvang Century


Souvenir
Order
Form

  Click here for a printable PDF document of this form.

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QTY

SIZE

ITEM

PRICE EACH

TOTAL

   

2009 Solvang Century JERSEY (S, M, L, XL, XXL, XXXL)

$65.00

 
   

2009 Solvang Century Lightweight JACKET (S/M, L/XL, XXL)

$65.00

 
   

2009 Solvang Century T-SHIRT
(S, M, L, XL, XXL)

$15.00

 
   

2009 Solvang Century FINISHER’S CERTIFICATE**
**Please print name to be on certificate:

$7.00

 
   

2009 Solvang Century SKULLCAP

$15.00

 
   

2009 Solvang Century LAMINATED POSTER (11”x18”)

$6.00

 
   

2009 Solvang Century
Satellite Image Map

$20.00

 
   

TOTAL FOR MERCHANDISE

   
   

TOTAL

   

First Name: __________________________________ Iinitial:__________

Last Name: ___________________________________________________

Address: _____________________________________________________

City: _________________________________ State: ____ Zip: _________

Telephone (home): ___________________________________________

Telephone (work): ___________________________________________

Credit Card #: ________________________________________________

Type: _________________________________________________________

Exp. DATE: _____________________________________________________

1) Complete the entire form; please print legibly.
2) Total entire order for merchandise.
3) Mail completed form with check or M.O. and entry form to:

SCOR
P.O. Box 9065
Brea, Calif. 92822

NO MERCHANDISE WILL BE AVAILABLE BEFORE THE EVENT.
Jersey pick-up guaranteed if ordered before February 27, 2009. Pre-ride merchandise will be available for pick up on ride day.

SCOR
P.O. Box 9065
Brea, CA 92822
FOR INFORMATION OR TO VOLUNTEER,
CALL (562) 690-9693
e-mail: bikeice@aol.com

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