BCHW STORE Order Form    (Print form and send to address below)

Quantity                                                                                                                      Price

________ Baseball Logo Caps, Dk Blue, Dk Green, Black (circle color)                @ $15.00______        

________ Scarves  Green yellow red                                                                  @ $6.00 ___________

________ Truck Decals                                                                                      @ $3.50_______

________ Bumper Stickers                                                                                 @ $1.50_______

________ Shoulder Patch                                                                                    @ $3.00_______

Volunteer Patches

________ 50 Hr Chevron                                                                                     @ $150_______

________ 100 Hr Chevron                                                                                   @ $1.50_______

________ 200 Hr Chevron                                                                                   @ $1.75_______

________ 500 Hr Chevron                                                                                   @$1.75________

BCH Guide Book

________ (If mailed)                                                                                            @$1.75_______

________ (If not mailed)                                                                                       @$ .50________

TOTAL ENCLOSED                                                                                                 $  _________

Make checks out to BCHW

Send check or money order only, no cash to:
Lori Lennox
PO Box 194
Satsop, WA 98583
    

Your  
NAME _______________________________________________

          ADDRESS_____________________________________________

          CITY________________________________________________

          STATE_____________ ZIP______________