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Please Print Clearly

Club Name, State_________________________________________________________

Ship to Attention _________________________________________________________

Address ________________________________________________________________

City, State, Zip __________________________________________________________

Telephone # ____________________________________________________________

E-mail _____
____________________________________________________________________________

 

Pins        
1999 NCC   X $5.00 ea  Total $ ________
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 15 Anniversary   X $5.00 ea  Total $ ________
2007 "Snowflake"   X $5.00 ea  Total $ ________
2008 Lamplighter   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 $15.00 ea  Total $ ________
"Snowflake", the NCC Snowgirl Figurine *   X $12.50 ea  Total $ ________
Jack's Umbrella Shop *   X $66.00 ea  Total $ ________
Trader's Pin Shop   X $50.00 ea  Total $_________
North Pole Motorcycle Accy.   X $20.00 ea  Total $ ________
Lamplighter Accy.   X $20.00 ea  Total $ ________
Welcome Home Sign Accy.   X $20.00 ea  Total $ ________
     
Shipping   $ ________
Total Amount Enclosed   $ ________
 
Shipping is included on all the items only    


Shipping    
  Pin Shop $6.00 ea
  Accessories $2.00 for 1 accessory
$3.00 for 2 accessories
FREE if your buy 3
FREE with Pin Shop
  Pins $1.00 (1-5 pins)
$2.00 (6-20 pins)
FREE with Pin Shop or accessories

   
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: Randy Miller
30 Stag Mountain Road
New Hartford, CT 06057
   
If you have any questions, contact Randy Miller, NCC President at 860-482-7935 or by e-mail presidentncc@ncc56.com


Click here for .pdf of order form