Lucky's Cash Sales - Order Form

Print this out and send it in with your check
YOU MUST BE A CURRENT ASSN. MEMBER TO ORDER THE FOLLOWING ITEMS:
ITEM DESCRIPTION                        PRICE    QTY     TOTAL

1. Association Logo Golf Shirt
   Circle Size:  M , L , XL , XXL 
   Circle Color: Red or Forest Green    $ 36    _____  $_________

2. Association Logo Sweat Shirt
   Circle Size:  L , XL , XXL 
   Circle Color: Red or Forest Green    $ 45    _____  $_________

3. '06 Reunion T-shirt
   Circle Size:  L, XL, XXL, XXXL       $ 10    _____  $_________

4. POPASMOKE Challenge Coin		$ 10    _____  $_________

5. Association Travel Bag		$ 10    _____  $_________

6. '06 Coffee Mug                       $  5    _____  $_________

7. Association Patch                    $  5    _____  $_________

8. Association Decal Sticker            $  2    _____  $_________

9. "Association Key Ring"
   Qty: Assoc_______                    $  5    _____  $_________

YOU DO NOT HAVE TO BE A CURRENT ASSN. MEMBER TO ORDER THE FOLLOWING ITEMS:
10."Wings Key Ring"
   Qty: Pilot_______ Aircrew_______     $  6    _____  $_________

11."Vietnam Service Ribbon" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

12."Vietnam Service Ribbon" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

13."Jane" Bumper Sticker                $  2    _____  $_________
   * ONE FREE "JANE" STICKER WITH ALL ORDERS *   

14."Lucky" Hat Pin               	$  5    _____  $_________

15."Vietnam Service Ribbon" Pin 	$  4    _____  $_________

16."Classic Association" Pin  		$  5    _____  $_________
   While Supplies Last!   

17.VHS-Vietnam's Helicopter Heros       $ 20    _____  $_________

18.VHS-Lucky Looks Back	       	        $ 10    _____  $_________

            SHIPPING & HANDLING SCALE                              
            $0.01   -   9.99   $  4.60 
            $10.00  -  49.99   $  5.50 
            $50.00  -  99.99   $  8.25 
            $100.00 - 999.99   $ 11.90    SHIPPING     $_________

                                          GRAND TOTAL  $_________

Name:           __________________________________________________________

Street:         __________________________________________________________

City/State/Zip: __________________________________________________________

E-mail:         __________________________________________________________

Phone:          ____________________________ Order Date: _________________
Make checks out to "POP A SMOKE" and send to the following address:
USMC/COMBAT HELICOPTER ASSOCIATION
72 Lorraine Street, Weymouth, MA 02189-2610

Allow 4-6 weeks for delivery, especially when ordering shirts.
For additional information, contact us at:  popasmoke@earthlink.net