Hill 4-11 Association

Merchandise Order Form

(Please print and then complete order form)

Please use this order form to purchase items for sale by the Hill 4-11 Association and mail it as instructed below:
Your Name and Address:

Name:_______________________________________
Street:_______________________________________
City:_______________________  State:________  Zip:____________
Phone:___________________  E-mail Address:___________________
Date:__________________  Signature:_______________________________________

Please fill in the total for each item by multiplying quantity by price:

by Colonel Leslie J. Stottle Hill 4-11 History Book, $17.50 each:   $  ______

Shipping:   $         3.00

Total:   $  ______

Please make check payable to Hill 4-11 Association and mail it along with this merchandise order form to:
Hill 4-11 Association
ATTN: Dick Hill, Treasurer
630 Woodside Dr.
Kent, OH 44240-2664

by Colonel Leslie J. Stottle	Hill 4-11 History Book, $17.50 each:	$ ______
	Shipping:	$ 3.00
	Total:	$ ______