CHRISTANSEN ACADEMY MEMORABILIA ORDER FORM
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Item Decription Number Price

# 1 Mouse pads_____ x $ 6.50 =_______
# 2 Key Chains _____ x $1.50 =_______

Sub Total Items 1 & 2 _______
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# 3 CA Photo T-shirts (one shirt per line)
Sizes = Adult S,M.L,XL
Youth S (6-8), M (10-12), L (14-16)
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
size __________ $8.95 8 oz.
Number of Shirts x $8.95 ________
Number of Shirts x 8 oz. _______
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# 4 CA Athletics T-shirts (one shirt per line)
Adult sixes S,M.L,XL BBall, Soccer, or CA Property
size___________ model _________________ $7.95 8oz.
size___________ model _________________ $7.95 8oz.
size___________ model _________________ $7.95 8oz.
size___________ model _________________ $7.95 8oz.
size___________ model _________________ $7.95 8oz
size___________ model _________________ $7.95 8oz
size___________ model _________________ $7.95 8oz.
Number of Shirts x $7.95 ________
Number of Shirts x 8oz. _______
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# 5 CA Polo Shirts (one shirt per line)
S,M.L,XL Red, Royal, Navy, and White
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
size__________ color____________________ $11.95 12 oz
Number of Shirts x $11.95 ________
Number of Shirts x 12 oz. _______
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Total Price __________
Total Weight __________

Shipping  __________ (see chart below)

Packaging $ 1.00

Total Due $__________

Shipping - All orders will be shipped from Ohio
Up to 1 lb. $3.50
2 lbs. Flat Rate $3.95
Over 2 lbs., up to 3 lbs. $5.15
Over 3 lbs., up to 4 lbs. $6.35
Over 4 lbs., up to 5 lbs. $7.55

*International shipment (including Canada) - please e-mail Cindi for instructions

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Make checks payable to: "Cynthia Sheers"
and mail them along with your order to:

Mrs. Cynthia Sheers
549 Barrenwood
Wadsworth, Ohio 44281

You may contact her directly at Tcsheer@cs.com or (330) 335-6409.
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