Wisconsin EMS Association Merchandise Order Form
| ITEM | SIZE | PRICE | SIZE | QTY | TOTAL AMT |
|---|---|---|---|---|---|
|
Sweat Shirts |
|||||
| Gold Badger Hooded Sweat Shirt | Med, Large, X-Large, | $30.00 | |||
| Gold Badger Hooded Sweat Shirt | XX-Large | $32.00 | |||
| Badger Sport Sweat Shirt | Med, Large, X-Large, | $25.00 | |||
| Badger Sport Sweat Shirt | XX-Large | $28.00 | |||
| Ragland Hooded Sweat Shirt | Med, Large, X-Large, | $30.00 | |||
| Ragland Hooded Sweat Shirt | XX-Large | $32.00 | |||
| Montclair Jersey Sweat Shirt | Med, Large, X-Large | $26.00 | |||
| Montclair Jersey Sweat Shirt | XX-Large | $28.00 | |||
| Violet V Patch Sweat Shirt | Med, Large, X-Large | $18.00 | |||
| Violet V Patch Sweat Shirt | XX-Large | $20.00 | |||
| Violet V Patch Sweat Shirt | XXX-Large | $22.00 | |||
|
T-Shirts |
|||||
| Navy Blue Tie-Dyed T-Shirt | Large, X-Large, XX-Large | $16.00 | |||
| Navy Blue Tie-Dyed T-Shirt | XXX-Large | $16.00 | |||
| Forest Green T-Shirt | Medium, Large, X-Large | $10.00 | |||
| Forest Green T-Shirt | XX-Large, XXX-Large | $12.00 | |||
| Sky Blue T-Shirt | Medium, Large, X-Large | $10.00 | |||
| Sky Blue T-Shirt | XX-Large, XXX-Large | $12.00 | |||
|
Wind Shirts |
|||||
| Tan Wind Shirt | Med, Large, X-Large | $28.00 | |||
|
Sweat Pants |
|||||
| Navy Sweat Pants | Med, Large X-Large | $16.00 | |||
|
Ladies Hats and Scarfs |
|||||
| Pink Ladies Hat | Single Size | $10.00 | |||
| Pink Ladies Scarf | Single Size | $10.00 | |||
|
Wisconsin EMS Association Patch |
|||||
| Wisconsin EMS Association Patch | Includes Shipping | $3.00 | |||
|
Can Coolers |
|||||
| Navy Blue Can Cooler | 12 Ounce | $2.00 | |||
|
Wisconsin EMS Poster |
|||||
| Wisconsin EMS Poster | Comes flat in mail tube with shipping included | $5.00 | |||
|
Shipping Shipping Shipping Shipping Shipping Shipping Shipping Shipping |
|||||
| Total of Merchandise Items | $ | ||||
| Add Wisconsin State and County Sales Tax of 5.5% | $ | ||||
| Add Shipping charges of $4.75 for totals up to $29.99, $7.00 totals $30.00 to $49.99, $8.50 for totals $50.00 to 99.99, $10.00 for totals $100.00 to $199.99, and $15.00 for totals of $200.00 and over. | $ | ||||
|
Total Amount Enclosed |
$ | ||||
Ship To: ________________________________________________________
Address: _______________________________________________________
City ______________________________ State _______ Zip ______________
Print
this form and send it along with your check or money order to:
The Wisconsin EMS Association, 26422 Oakridge Dr., Wind Lake, WI 53185
Please allow 2 to 4 weeks for delivery