PENS ORDERED IN QUANTITIES OF 25 – BALLPOINT $6.95 EA – ROLLERBALL $7.95 EA

AOH SHIELD WITH YOUR DIVISION NUMBER/CITY/ETC. ____________________________

#_____VERTICAL PRINT #_____HORIZONTAL PRINT PEN TOTAL $________

RINGS: WHITE ULTRIUM(SILVER) $325.00 EA. #_______PA. RESIDENTS ADD $19.25 SALES TAX$________

10K GOLD $445.00 EA. #_______ PA. RESIDENTS ADD $27.65 SALES TAX $________

RING SIZE_______ INITIALS _______3 CHARACTERS ENGRAVED INSIDE RING. TOTAL $________

NAME OR DIVISION NUMBER ON RING – MAX 8 CHARACTERS _ _ _ _ _ _ _ _

NAME___________________________ SHIPPING ADDRESS_______________________________

_______________________________

PH #___________________ E-MAIL ADDRESS____________________________ DIVISION #____

MAKE CHECKS PAYABLE TO: AOH DIV. 4, 31 CHALFONTE AVE., PITTSBURGH PA 15229

FOR ADDITIONAL INFO CONTACT: PAT O’BRIEN PH # 412-439-8454 FAX # 412-945-6188

E-MAIL: aoh.divfour@gmail.com MORE INFO? VISIT US www.pittsburghirish.org/AOHDiv4

ALLOW UP TO 3 WEEKS DELIVERY FOR PENS AND UP TO 6 WEEKS FOR RINGS