ORDER FORM Please print clearly:

DATE

SAI M'ship Number

Chapter

Region







NAME ____________________________________________________________

STREET ADDRESS __________________________________________________

CITY _______________________________ STATE _____ ZIP ______________

PHONE: day (_____) __________________ evening (_____) _________________

EMAIL ADDRESS: _________________________________________________

Item

Description

Quantity

Item Price

Total Price

A

Bud vase (SAI logo)


$15.00


B

Sweet Adeline of the Year Pin


$10.00




SHIPPING AND HANDLING CHARGES: Charges are per address, Continental U.S. Only

Purchase Amount

ADD:

Up to $25.00

$5.00

$25.01 to $50.00

$7.00

$50.01 to $75.00

$9.00

$75.01 to $100.00

$15.00

Over $100.00

10% of order

Costs based on UPS Ground. For rush orders, call for details.

MERCHANDISE TOTAL ________________

SHIPPING & HANDLING ________________

TOTAL ENCLOSED ________________

(Check or money order payable to Dot McElroy)

Mail to:

Dot McElroy

206 Rolling Meadows Drive

Jackson, MS 39211

601-957-1772 Please call between 8 a.m. and 8 p.m. CST

E-mail: [email protected]

A portion of all sales will be donated to Young Singers Foundation.

Custom orders available. Call for details.

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