DBCAA Hat and T-Shirt Order Form

dutch belted hat

_____ Med T-shirt x $15.00 =  ________

_____  Lg T-shirt  x $15.00 =  _________

_____  XL T-shirt x $15.00 =  _________

_____  XXL T-shirt x $18.00 = ________

_____ XXXL T-shirt x $18.00 = ________

_____ Hat                 x $15.00 = ________

add $10.00 shipping and handling _$10__

                                    Total = ________

Name _____________________________________________

Address ___________________________________________

__________________________________________________


Make checks payable to: DBCAA
Send payment to: Ellen Bohn
                            906 1/2 S. Twelfth St
                            Watertown, WI  53094
Or contact Secretary, Kristine Haag-see links.

For more information, e-mail Ellen bohnview@gmail.com.