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ORDER FORM
John W Blehm, Secretary/Treasurer, [email protected]
Ameraucana Alliance, 4599 Lange Road, Birch Run MI 48415-8137
Please fill out this form, check the appropriate boxes and mail it along with your check to the above address.
NAME:__________________________________________________________________________
ADDRESS: __________________________________________________________________________
CITY: ________________________________________STATE:_____________ZIPCODE:__________
PHONE: __________________________________EMAIL:____________________________________-
Prices include postage within the US and Canada
Quantity
Item
Amount
(2) 4” x 6” Ameraucana Egg Color Reference Charts
$3.00
(1) 4” Ameraucana Alliance Patch
$5.00
(2) 4” Ameraucana Alliance Patches
$8.00
(1) 2” x 3” Name Badge w/logo (include name)
$10.00
Ameraucana Directory (FREE to Members & FREE on-line)
$3.00
Total
Check Total
Canadian customers – please use PayPal in US$,
so the club doesn’t have to pay a check cashing fee for Canadian checks.
To pay using PayPal, please to [email protected] and include your order
and shipping information in the notes portion of PayPal.