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 277 Carlsbad, CA 92018 Questions? Email us at: greys@greyhoundconnection.org