Pop Warner Little Scholars, Inc s1

Order NOW 2011 Pop Warner Little Scholars, Inc. Order NOW & Save & Save 10% Official Uniform Patch Order Form 10%

Order your official Pop Warner Uniform Patches NOW!! All Football Jerseys Must Have Patches by 2012 Order by July 7, 2011 and receive a 10% discount on your order (only $1.35 per patch) Orders placed between July 8th – August 1st will be billed at $1.50 per patch. Orders placed on or after August 2, 2010 will be billed at $2.00 per patch.

2” 1 1/4”

3” 2 1/4”

Pop Warner Uniform Patch Order B A s s o c i a t i o n N a m e D e s c r i p t i o n Q u a n t i t y P r i c e T o t a l I C o n t a c t N a m e Football L Patch L A d d r e s s Cheer/Dance Patch C i t y S t a t e Z i p T Shipping: O ( ) A r e a C o d e T e l e p h o n e Overnight Charge* Method of Payment: Subtotal: VISA Master Card Check Card No:______Total: Expiration Date ______Validation Code ______(3-digit #)

*NEW FOR 2011 - EXPRESS SHIPPING FOR 300 OR LESS* S A s s o c i a t i o n N a m e H - Express Shipping of 300 or less patches is: $23.95 - 301 or higher, please call Nova Vista at 941-916-9029 I C o n t a c t N a m e

P A d d r e s s *IF REQUESTING OVERNIGHT SHIPPING, CALL NOVA VISTA FOR RATES T C i t y S t a t e Z i p O ( ) A r e a C o d e T e l e p h o n e Please make checks payable to Nova Vista, Inc. Please MAIL all orders to: P.O. Box 511068 PRIORITY SHIPPING COSTS ARE AS FOLLOWS: Punta Gorda, FL 33951 Order Size Priority Shipping (# Patches) Charges HOW TO ORDER PATCHES: 0 - 100 $7.45 1. If paying by check, fill out this form and send with check to above 101 - 200 $8.25 address. 201 - 300 $9.25 2. 301 - 500 $13.95 501 - 1000 $15.95 3. If paying by credit card, fill out this form and email or fax to: 1001 - > Please contact Email: [email protected] / Fax number: 941- Nova Vista for rates 575-5978. at 941-916-9029 4. To place phone order with credit card, call 941-916-9029.