Please mail this form to: | Donna Gobrecht | ||||||
419 Deerfield Drive | |||||||
Hanover, PA 17331 | |||||||
Make checks payable to Kevin Gobrecht Memorial Fund | |||||||
Merchandise will be sent to address on check unless noted otherwise | |||||||
Quantity | Description | price | total | ||||
G-Man Hat | $15.00 | ||||||
G-Man Sticker | $3.00 | ||||||
Koozies |
$3.00 or 2@$5.00 |
||||||
G-Man Shirt Adult Small - 4XL | $20.00 | ||||||
Memorial Photo & Fact Sheet | $1.00 | ||||||
shipping | add $2.00 for orders less than $10.00 | ||||||
add $5.00 for orders $10.00 or more plus $5.40 per shirt | |||||||
Customer Name | |||||||
Phone Number | |||||||
Total | |||||||
Questions contact Donna at donnagobrecht@kevingobrecht.com |