LbNA Merit Badge Order Form
(no minimum order)

Size: ~1" diameter
(Colors shown are approximate)

Available Letter Designations: P = "planted",  F = "found",  X = "exchanged",
E = event stamps, S = # of States letterboxed
Available Denominations:  10, 25, 50, 75, 100, 150, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000.
Fill in circles below with Letter Designation and Denomination:   i.e. or


Quantity ________
   (less than 10)   
x    $2.75 each
           (includes sales tax)
=   $_________
          Total due
Quantity ________
      (10 or more)     
x    $2.50 each
           (includes sales tax)
=   $_________
          Total due

Make check payable to:
Chris Klanica
Mail to:

Chris's Creations
c/o 1518 Main Street
W. Leechburg, PA 15656

Phone Number:

724-845-8068

Fax Number:

724-845-1846

Email address:

chris@klanica.com

Ordered by:

Address:

City, State, Zipcode:

Phone:

_______________________________________

_______________________________________

_______________________________________

(_______)___________________

Be sure to include a SASE with proper postage
~ 1 stamp for four badges ordered
& with "PLEASE HAND CANCEL" written on the envelope.