2011 Solvang Century & Half-Century Souvenirs & Bike Ride

Souvenir
Order
Form

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QTY	SIZE	ITEM	PRICE EACH	TOTAL
		2010 Solvang Century JERSEY (S, M, L, XL, XXL, XXXL)	$65.00
		2010 Solvang Century Lightweight JACKET (S/M, L/XL, XXL)	$70.00
		2010 Solvang Century T-SHIRT (S, M, L, XL, XXL)	$15.00
		2010 Solvang Century FINISHER’S CERTIFICATE Please print name to be on certificate:	$7.00
		2010 Solvang Century SKULLCAP	$15.00
		2010 Solvang Century LAMINATED POSTER (13”x19”)	$6.00
		2010 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 26, 2010. 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: bikeride@roadrunner.com

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