Item	Description	Size	Color	Quantity	Price each	Total $
03499	Golf Shirt
$27.00	+ $2 for 2X
	+ $3 for 2X
20340	Long Sleeve Henley
$27.00	+ $3 for 2X
18462	Short Sleeve Oxford
$29.00	+ $3 for 2X
09460	Long Sleeve Denim
$29.50	+ $2 for 2X
	+ $3.50 for 3X
18450	Long Sleeve Oxford
$32.00	+ $2 for 2X
01158	Sweatshirt
$28.50	+ $2.50 for 2X
	+ $2.50 for 3X
09597	Golf Jacket
$50.00	+ $3 for 2X $6 for 3X
09549	Microfiber Jacket
$64.00	+ $3 for 2X $6 for 3X
04204	Cotton T-Shirt
$19.00	+$1.50 for 2X
	+1.50 for 3X
04347	Henley T-Shirt
$22.00	+$1.50 for 2X
04219	Pocket T-Shirt
$19.75	+1.50 for 2X
52642	Two Tone Cap	NA			$19.00
52640	Cotton Cap	NA			$19.00
90682	Twill Cap	NA			$19.00

This form should print out on one sheet of paper. Put your name and phone number on the sheet. Be sure to check the catalog page for colors and sizes.

Either bring this form to one of our meetings or mail it to:

Ron Hyken, Treasurer
1886 Beaver Ridge Ct
Chesterfield
MO 63017

Make check payable to MPA.

Thank you for your support. A portion of the proceeds is donated to the Chapter. If you have any questions you can call Ron at 636-530-7651

Name_____________________________

Phone No._________________________

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