Orders

ORDER FORM

PLEASE PRINT THIS FORM to order merchandise from our 40th year reunion.

Print the following form, fill it out and send it with a check made out to Mumford 63 to the address at the bottom:

Number of booklets requested _____________ X $25 = $________

v VIDEO

The Video of the Mumford �63 40^th Reunion Weekend is available for $39 (including shipping and handling)

# of copies _______________ x $39 = $_________

You can order a short sleeve or long sleeve t-shirt or a sweatshirt. Click Merchandise for the sizes and costs and designate your order below:

Description_______________________ Size__________ Quantity________ Sub-Total_____________

Handling and Delivery Charge $4.00 per item

Total Cost including Handling and Delivery =$__________

TOTAL ENCLOSED: _____________

Make your check out to Mumford 63

Mail to:

Joani Lesser
7107 Daventry Woods Drive
West Bloomfield, MI 48322

Name __________________Address________________________ Email__________________________