Promotional Glass Collectors Association Merchandise Order Form

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Merchandise Order

Members are allowed to purchase only one of each glass. There is no limit on t-shirts.

* Required

*Member Number:

* Name:

* Address 1:

Address 2:

* City:

* State/Province:

* Postal Code:

* Country:

* Home Phone:

Work Phone:

Email Address:

Select any of the following glasses that you'd like to purchase. Glasses are $20 each:

Helga	Lucky Eddie
Kvack & Honi	Hamlet & Snert
Pink Panther	Silver Surfer
Calvin & Hobbes	Opus & Bill the Cat
Cat In The Hat	Captain America
Tom and Jerry	Heckle and Jeckle
Jonny Quest

Select any of the following T-shirts that you'd like to purchase. T-shirts are $15 each:

~~Pink Panther~~Out	~~Silver Surfer~~Out
~~Calvin & Hobbes~~Out	~~Opus & Bill the Cat~~Out
~~Spiderman~~Out	~~Cat In The Hat~~Out
~~Quick Draw McGraw~~Out	~~Captain America~~Out
Tom and Jerry	Heckle and Jeckle

Please complete the above and print out and mail with your check made payable to:

Please note: Your check should be made out to PGCA, not Carl directly....

Promotional Glass Collectors Association (or PGCA)
c/o Carl & Mary Sehnert
4595 Limestone Lane
Memphis, TN 38141
USA
(901) 794-8723 (early evenings Central Time)