L&WV MERCHANDISE ORDER FORM

Item How Many Price
1. 3713 KEYCHAIN $ 6.00      

2. 3713 T- SHIRTS L&WV RHS $ 12.00 Size 10-12 14-16

SM MD LG XL shirts

   

3. 3713 T- SHIRTS L&WV RHS $ 14.00

Size XXL XXXL shirts

   
4. 3713 T-SHIRTS “The Constitution” $ 12.00

Size 2 - 4 6-8 10 - 12 shirts
   
5. 3713 COFFEE MUG $ 15.00
   
6. 3713 CAP $ 10.00    
7. DELAWARE & HUDSON CAP $ 10.00    
8. HOBO COFFEE MUG $ 12.00    
9. PENCIL SKETCH LITHO $ 4.00    
10. PENCIL SKETCH LITHO $ 8.00    
11. CP 2317 COLOR LITH0 $ 4.00    
12. CN 3254 COLOR LITHO $ 4.00    
13. L&WV ANNIVERSARY PIN $ 6.00    
TOTAL    


NAME ________________________________________________________________
AMOUNT
ADDRESS ________________________________________________________________ ENCLOSED

CITY _______________________________ STATE ______ ZIP _______________


Make Check Payable to: “3713 Restoration Fund”

Please charge my : (CIRCLE ONE:) Visa Card Master Card $ 20 MINIMUM PURCHASE
REQUIRED ON CREDIT
Card No. _____________________________________ Expires ______________ CARD

Signature ____________________________________________________________

MAIL ORDER TO: LOCOMOTIVE RESTORATION FUND
DEPT M
P.O. BOX 3452
SCRANTON, PA 18505-0452

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