GRANITE STATE WHEELMEN
MERCHANDISE ORDER FORM
GSW
THREE COLOR, SHORT SLEEVE, CLUB JERSEY
MEN’S
CUT S_____M_____L______XL______ XXL______ $55
WOMEN’S
CUT S_____M_____L______XL______ $55
GSW-SCC FOUR COLOR, SHORT SLEEVE, CLUB JERSEY
MEN’S
CUT S_____M_____L______XL______ $40
GSW
THREE COLOR, WIND VEST
M_____L______ XXL______
$45
GSW
THREE COLOR SHORT
MEN’S
CUT
S______ XL______XXL______ $40
WOMEN’S
CUT S______M______L______XL______
$40
GSW
THREE COLOR GLOVES
GLOVE
SIZES
S______M______L______XL______ $17
GSW SEACOAST CENTURY COTTON T-SHIRTS
2008, HONEY,
(RIDER), SHORT SLEEVE S______ L______ $1
2009, BEIGE,
(RIDER), SHORT SLEEVE S______
M_______L______XL______ $1
2009, BEIGE,
(RIDER), LONG SLEEVE
S______ L______ $3
2009, SAFETY
YELLOW, (VOLUNTEER) S______ L______
$1
DECALS,
PATCHES AND FIBERFIX SPOKE
(Don't include these items for shipping)
GSW
DECAL
#___________ $1.50
GSW
PATCH
#___________ $1.50
FIBERFIX
SPOKE
#___________ $1000
MERCHANDISE: _______________
SHIPPING
INFORMATION:
1) IF YOU PICK THE ITEM UP: NO CHARGE. ( Call for directions.)
2) ONE TO THREE ITEMS: $6.00
3) FOUR OR MORE ITEMS: $12.00
SHIPPING:
_______________
TOTAL: _______________
PLEASE NOTE:
ALL ITEMS SHOWN
ON THIS ORDER FORM ARE NORMALLY IN STOCK AND READY FOR SHIPMENT, BUT PLEASE
CALL AHEAD FOR CURRENT AVAILABILITY OF SIZE.
FORM
INSTRUCTIONS:
PRINT OUT FORM,
MARK FORM WITH SELECTION, DETERMINE THE TOTAL INCLUDING SHIPPING, MAKE YOUR
CHECK PAYABLE TO THE GRANITE STATE WHEELMEN (OR GSW) AND SEND THE
FORM AND CHECK TO:
GRANITE STATE WHEELMEN
c/o BOB KOEHLER
5 ROSSINI ROAD
LONDONDERRY, NH 03053
(603) 432-7341
SHIP TO
INFORMATION:
NAME_______________________________________________________________
ADDRESS____________________________________________________________
CITY_______________________________
STATE________ZIP________________
TELEPHONE(for
order receipt confirmation):_________________________________
EMAIL (for
order receipt confirmation):_____________________________________
April 4, 2010