Print this ORDER FORM, fill out, mail in. Make checks or money order payable to U.S.P.C.A. and mailed to:
Brent Kock
10986 Hawthorn Drive
Clive, Iowa 50325
(515) 419-2326
| Item No. | Name of Item | Price | Total Qty. | Total |
|---|---|---|---|---|
| 1 | USPCA Trailer Hitch Covers | $8.00 Cirlce Item: [USPCA Logo] Limited Quantity [Puppy Paw] |
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| 2 | St. Michael Coin | $6.00 | ||
| 3 | USPCA Challenge Coin | $10.00 | ||
| 4 | Refillable Thermal Bruiser Mug - 22oz. | $5.00 |
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| 5 | Refillable Thermal Cruiser Mug - 16oz. | $4.00 |
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| 6 | U.S.P.C.A. Ceramic Mug | $5.00 | ||
| 7 | U.S.P.C.A. BADGE | $6.00 | ||
| 8 | Certification Bars | $3.00 List bars desired: |
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| 9 | Certified PD I Medal (Pewter) | $4.00 | ||
| 10 | K-9 Insignia Pins | $6.00 Circle One: Gold Silver Black |
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| 11 | U.S.P.C.A. Jewelry (Logo) | $4.00 Circle One: Tie Tack Lapel Pin Stick Pin |
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| 12 | Collar Badge Holder (Leather) | $5.00 | ||
| 13 | Embroidered U.S.P.C.A. Patch | $4.00 | ||
| 15 | License Plate Frame (Plastic) | $3.00 | ||
| 17 | U.S.P.C.A. Embroidered Shirt | $15.00 Circle Color: red navy royal blue white & grey Circle Size: M L XL XXL |
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| 18 | U.S.P.C.A. Jewelry (Round – Gold or Silver) | $4.00 Circle One: Gold Silver |
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| 19 | Dog Paw Window Sticker | $2.00 ea. Circle One: K9 Unit Plain (no K9 unit) |
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| 20 | K-9 Cops T-Shirt | $8.00 Circle One:Dad Mom Uncle Grandpa Circle Size: Extra Small Youth Small Youth Medium Youth Large Youth XLarge Adult Sizes: Small Medium Large |
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| 21 | USPCA Navy Blue T-shirt | $8.00 Circle Size: Extra Small Youth Small Youth Medium Youth Large Youth XLarge Adult Sizes: Small Medium Large |
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| 22 | Navy Blue Nylon Windbreaker | $15.00 Limited Quantities Circle Size: Large X-Large XX-Large XXX-Large |
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| 23 | USPCA Golf Towels | $10.00 | ||
| 24 | We Remember Magnetic Ribbon | [$2.00] | ||
| Total Merchandise | ||||
| Shipping | $5.00 | |||
| Total |
Please indicate shirt sizes on the back of order form.
Mailing Instructions:
Name_____________________________________________________________
Address___________________________________________________________
City, State, Zip ____________________________________________________
Phone No._________________________________________________________
No Credit Cards or C.O.D. orders please. Most orders shipped regular first class mail. Checks or Money Orders should be made payable to: U.S.P.C.A. and mailed to Brent Kock, 10986 Hawthorn Drive, Clive, Iowa 50325, (515) 419-2326 Note: On all items ordered in quantity discount there may be additional shipping billed to purchaser. Our prices don't allow us to cover the extra freight.