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

PA RESIDENTS ADD 7% SALES TAX - 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 #412-939-0408
FAX #412-931-4872
E-MAIL: aoh.divfour@verizon.net

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