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Please Print Clearly

Club Name, State_________________________________________________________

Ship to Attention _________________________________________________________

Address ________________________________________________________________

City, State, Zip or Province ________________________________________________

Telephone # ____________________________________________________________

E-mail _____
____________________________________________________________________________

 

Package Deals        
Three Convention Accessories ($60 Value) x $35.00 Total $ ________
Ed and Snowflake Accessories x $15.00 Total $ ________
Six Pins (check below)   x $20.00 Total $ ________
Pins        
2002 10th Anniversary   X $5.00 ea  Total $ ________
2003 "Is it Raining?"   X $5.00 ea  Total $ ________
2004 NCC   X $5.00 ea  Total $ ________
2005 "Ed the NCC Snowman"   X $5.00 ea  Total $ ________
2006 NCC   X $5.00 ea  Total $ ________
2007 15th Anniversary   X $5.00 ea  Total $ ________
2007 "Snowflake"   X $5.00 ea  Total $ ________
2008 North Pole Motorcycle   X $5.00 ea  Total $ ________
2008 Traders Pin Shop   X $5.00 ea  Total $ ________
2008 Welcome Home   X $5.00 ea  Total $ ________

Accessories and Buildings

   
"Ed" Figurine   X $10.00 ea  Total $ ________
"Snowflake", the NCC Snowgirl Figurine   X $10.00 ea  Total $ ________
Jack's Umbrella Shop *   X $66.00 ea  Total $ ________
Trader's Pin Shop   X $35.00 ea  Total $_________
North Pole Motorcycle Accy.   X $15.00 ea  Total $ ________
Lamplighter Accy.   X $15.00 ea  Total $ ________
Welcome Home Sign Accy.   X $15.00 ea  Total $ ________
     
Shipping   $ ________
Total Amount Enclosed   $ ________
 
* Shipping is included this item only    


Shipping    
  Pin Shop $7.50 ea
  Accessories $3.00 for 1 accessory
$5.00 for 2 accessories
  Pins $2.00 (1-6 pins)
Please email Tom for combined shipping rates

   
Please include this form with your order and send to: National Council of 56 Clubs
Make checks out to the NCC (US dollars only) Attn: Tom Iacoviello
3615 Black Oaks Lane North
Plymouth, MN 55446
   
If you have any questions, contact Mike Goode, NCC President at 817-427-5330 or by e-mail presidentmike@ncc56.com


Click here for .pdf of order form