LbNA Logo Patch Order Form

Size: 2" x 2"
(Colors shown are approximate)


Quantity ________
x    $2.15 each
               ($2 ea.+ 7.25%
               Sales Tax)
=   $_________
          Total due

Make check payable
and mail to:

Kay "Mohmers"
C/o 112 Dale Ave
Collinsville, IL 62234

Ordered by:

Address:

City, State, Zipcode:

Phone:

_______________________________________

_______________________________________

_______________________________________

(_______)___________________

Please include one first-class stamp for every 2 patches,
plus a large self-addressed stamped envelope.



On Your Own bulk orders

If you are ordering 50 or more LbNA logo patches on your own call:
ACCÉNT
Screen Printing & Embroidery, Inc.
(203) 281-3587 (800) 380-3587
or FAX (203) 281-4676
or EMAIL: Accentinc@Snet.Net
2554 State Street
HAMDEN CT 06517

Be ready with your credit card. They will tell you the cost plus shipping and handling.
After 100 patches, the more you purchase per order the cost goes down. You will need to send an example of the patch to them.