GREYHOUND		CONNECTION

Order Form

Please Print: Name___________________________________________________________________ Address______________________________________________________________ City _______________________________________ State ____Zip Code________ Phone ___________________________________ Email ____________________________________

Description

Quantity

1st Color

2nd Color

Unit Price

Total

Merchandise Total ___________

Shipping: $0.01 - $9.99:...................$3.00 $20.00 - $49.99:.............$5.00 $50.00 to $99.99:...........$9.00 $100.00 to $200.00:......$12.00 $200 & over......................$15.00

Calfornia Residents Add 7.75% _________ Shipping _________ * Donation _________ TOTAL _________ Thank you for your order.

*If you are making your donation on behalf of someone else, please tell us their name, address, and if there is a special reason. We will let them know.

Please make your check payable to Greyhound Connection and mail order to Greyhound Connection P. O. Box 5231 Oceanside, CA 92052-5231 Questions? Email us at: greys@greyhoundconnection.org