THE LOGO:        (circle your choice of color and size)

GRAND JETES:     (circle your choice of color and size)

T-shirts are $12.00, plus $3.20 S&H

JEWELRY:                         (circle your choice)

Jewelry... $7.00 each, plus $3.20 S&H

Enclosed... __________ for__________ T-shirts
          plus ______ $3.20 (S&H)

Enclosed... ___________for__________ item(s) jewelry
          plus ______ $3.20 (S&H)

                  _______ TOTAL

You will find enclosed a check made out to PDS for $______________ 

            Name:____________________________________________________ 
            Address:__________________________________________________ 

City: _______________________ State: _________Zip ________

Email address __________________________________________
 

     Copy this form and send with your check to: Or click HERE for a printer friendly version.
 

______ 2003 - FALL BALL honoring Lee Hale
______ 2002 - FALL BALL honoring Bob Sidney
______ 2001 - FALL BALL honoring Rudy Del Campo and The Friars 
                        Charitable Foundation
______ 1999 - FALL BALL Honoring Donna Crean & Miriam Nelson
______ 1998 - FALL BALL Honoring Betty Rose & Joni Berry

            Above tapes @ $25.00 including Shipping and Handling

You will find enclosed a check made out to PDS for $______________

Name:____________________________________________________

Address:__________________________________________________

City: _______________________ State: _________Zip ____________

Email address _____________________________________________

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       Copy this form and send with your check to: Or click HERE for a printer friendly version.