Maryland Cued Speech Association

MDCSA Merchandise Order Form

Please complete this form, print and mail with payment by check made out to 'MDCSA.'  Mail to:

Please provide the following contact information:

First Name
Last Name
Middle Initial
Home Phone
E-mail

Please provide the following ordering information:

QTY	DESCRIPTION	Price Each	Total	T-Shirt Size

Total Amount Enclosed Maryland Residents MUST add 5% Sales tax.

	SHIP TO:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Shipping Charge
If your order totals	Add amount below for shipping and handling
$0-$5.99	$2.50
$6-$28.99	$4.00
$29-$40.99	$5.00
$41-$70.99	$6.00
$71.00 or More	10% of order price
Please allow 2-4 weeks for delivery

PRICE LIST
	Members	Non-Members
Bumper Sticker	$3.00	$4.00
CS Resources Book	$37.95	$39.95
Clipboard	$10.00	$12.00
Cue Chart	$0.25	$0.35
T-Shirt	$12.00	$15.00
MDCSA Pencils	$0.25 each	$0.35 each

 

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Revised: November 07, 2005