Texas VROC
Apparel/Accessory ORDER FORM


Ordering Instructions:
     1. Print out this order form.
     2. Fill in your full name, address and email address.
     3. Indicate what items to buy by filling in the item and quantity.  

Please make your checks or money orders payable to "M. Ginsel". Help avoid delays by including all information on the order form. Prices listed on this form include shipping and handling. Please mail your orders to the following address:

M. Ginsel
6100 Laird Dr.
Austin, Tx. 78757

Ship Items To:

Name: _____________________________________________

Address:____________________________________________

City: _______________________________________________

State: ________________ Zip: _________________________

Telephone Number: ___________________________________

Email Address: ___________________________________

Item (Indicate desired quantity and size) Cost Per Sub-total
     
Texas VROC Patch (3" diameter)
     ______ Quantity 		$4.00   OUT OF   STOCK
Texas VROC Lapel Pin
     ______ Quantity 		$3.00  
Total:
   

Please allow 1 week for delivery. All orders will be sent via USPS.