  | OFFICIAL COWTOWN LOGO MERCHANDISE ORDER FORM |  MEMBER NAME: __________________________________________________ ORDER DATE: ________________  DATE REQUESTED: ________________    |  
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| QTY | DESCRIPTION  | PICTURE | PRICE EACH | LINE TOTAL | 
|   | #1 CUSTOM EMBROIDERY (items you furnish - NO LEATHER) Full Item Description: _____________________________________________________________  | Provide Selection Below | pricing details below  | pricing for choices | 
|   | Cowtown C6 Corvette Racing - Large, ideal for Jackets |   | $TBD |   | 
|   | Cowtown C5 Corvette Racing - Large, ideal for Jackets |   | $TBD |   | 
|   | C6 Corvette Racing Logo - Small, ideal for front shirt pocket areas. |   | $TBD |   | 
|   | C6 Corvette Racing Logo - Large, ideal for Jackets |   | $TBD |   | 
|   | C5 Corvette Racing Logo - Small, ideal for front shirt pocket areas. |   | $TBD |   | 
|   | C5 Corvette Racing Logo - Large, ideal for Jackets |   | $TBD |   | 
|   | #1a: ADD YOUR NAME ON A SHIRT OR JACKET (embroidered)  NAME: _________________________________________  STYLE: _______ (block/script)  COLOR: ___________  |   | $3  |   | 
|   | #1b: ADD YOUR VETTE ON SHIRT OR JACKET (embroidered)  VETTE YEAR: ______  COLOR: ____________  SELECT VETTE # C___-__     |   | $5  |   | 
|   | #1c-1: ADD 30TH CTV LOGO ON SHIRT OR JACKET (embroidered)  |   | $5  |   | 
|   | #1c-2: ADD 35th CTV LOGO ON SHIRT OR JACKET (embroidered)  |   | $5  |   | 
|   | #1d: ADD YOUR NAME AND YOUR VETTE ON SHIRT OR JACKET (embroidered)   NAME: _________________________________________  STYLE: _______ (block/script)  COLOR: ___________ VETTE YEAR: ______  COLOR: ____________  SELECT VETTE # C___-__     |   | $5 |   | 
|   | #1e: ADD YOUR NAME AND TEXT ON SHIRT OR JACKET (embroidered)   NAME: ____________________________________________  TEXT: ____________________________________________ STYLE: _______ (block/script)  COLOR: ___________  |   | $5 |   | 
ITEM #1 TOTAL $  |   | 
|   | #2 CUSTOM EMBROIDERY (items you furnish - NO LEATHER) Full Item Description: _____________________________________________________________  | Provide Selection Below | pricing details below  | pricing for choices | 
|   | #2a: ADD YOUR NAME ON SHIRT OR JACKET (embroidered)   NAME: _________________________________________  STYLE: _______ (block/script)  COLOR: ___________  |   | $3  |   | 
|   | #2b: ADD YOUR VETTE ON SHIRT OR JACKET (embroidered)  VETTE YEAR: ______  COLOR: ____________  SELECT VETTE # C___-__     |   | $5  |   | 
|   | #2c-1: ADD CTV LOGO ON SHIRT OR JACKET (embroidered)  |   | $5  |   | 
|   | #2c-2: ADD 35th CTV LOGO ON SHIRT OR JACKET (embroidered)  |   | $5  |   | 
|   | #2d: ADD YOUR NAME AND YOUR VETTE ON SHIRT OR JACKET (embroidered)   NAME: _________________________________________  STYLE: _______ (block/script)  COLOR: ___________ VETTE YEAR: ______  COLOR: ____________  SELECT VETTE # C___-__     |   | $5 |   | 
|   | #2e: ADD YOUR NAME AND TEXT ON SHIRT OR JACKET (embroidered)   NAME: ____________________________________________  TEXT: ____________________________________________ STYLE: _______ (block/script)  COLOR: ___________  |   | $5 |   | 
ITEM #2 TOTAL $  |   | 
ORDER TOTAL $  |   | 
Contact Karen Watson at the Membership Meeting Note: Availability & Pricing is subject to change without notice  |