TSTA STORE Order Form

PAYMENT MUST ACCOMPANY ORDER

TSTA Promotional Items / 8716 N. Mopac Expwy/ Austin, TX 78759 -- or scan and email to [email protected] BILLING ADDRESS SHIPPING ADDRESS ADDITIONAL INFORMATION Name: Date: Address: Area/Local: City/St/Zip: Phone: Email: Event Desc: METHOD OF PAYMENT - PLEASE COMPLETE

___ Internal Code (specify: ______) ___Visa ___MC ___Amex ___Discovery ___Check (#: ______)

Name on Card: Billing zip code: Card#: Exp. Date Sec Code:

QTY ITEM PRICE TOTALS Belt Buckle CLEARANCE: TSTA logo, enamel on metal 2.00$ $ - Bumper Sticker TSTA/NEA Fighting for Public Schools, TSTA logo, full-color 0.25$ $ - Bumper Sticker Take a Stand for our Public Schools, TSTA logo, full-color 1.00$ $ - Flash Drive USB 2.0 / 2GB, blue, full-color TSTA logo, metal swivel, key ring 4.50$ $ - Hand Sanitizer Spray, light citrus scent, mini-card style, full-color TSTA logo, 12ml $ 1.00 $ - ID Holder (deluxe) Blue "TAKE A STAND" with outline logo and 2 pen holders 1.75$ $ - Lanyard Blue, white "TSTA/NEA", thumb trigger/lobster claw, 3/4" 0.75$ $ - Lapel Pin 0.75" size, gold tone, TSTA logo, full-color, soft enamel, 8mm butterfly clutch 1.50$ $ - Lapel Pin - AR 0.75" size, gold tone, TSTA logo, full-color, hard enamel, 8mm butterfly clutch 1.50$ $ - Pen Blue or White Barrel, TSTA logo, black ink, click style 0.30$ $ - Pencil White, blue PMS 541 logo, pink eraser 0.15$ $ - Plastic Bag White, blue TSTA logo, 1.75 mil, 12x15 0.20$ $ - Stickers 0.5" TSTA color logo stickers for ID badges -- per sheet of 192 1.25$ $ - Stickers Round 3", blue, white "I am A TSTA Member" (each) 0.10$ $ - Stickers Round 3", blue, white "I am A TSTA Member" (ROLL of 1000) 75.00$ $ - Stickers Square 3x3, TSTA logo, full-color (each) 0.10$ $ - Stickers Roll Label of 250, 3x2.5, TSTA logo, full-color 16.00$ $ - Sticky Notes White, screened TSTA logo, full-color, 25 sheets per pad, 3x3 0.35$ $ - Tote Bag Blue, white TSTA logo, zippered main compartment, 3 pockets, LG 5.75$ $ - Cups Blue, Tumbler w/ white TSTA Logo 16oz 0.75$ $ - Cups Blue, Tumbler w/white TSTA Logo (buy 4 get 1 free) 16oz 3.00$ $ - Tumbler Snap-on lid and straw, translucent blue, white TSTA logo, 16 oz 2.00$ $ - USB Wall Charger Single port, blue, white TSTA logo 2.50$ $ - Sub-total $ - (Shipping will be calculated at time of order ) Shipping TOTAL FOR OFFICE USE ONLY Received: Shipped: Picked Up: # Boxes: LSO Filled By: Tracking: USPS Code FROM: 62810 ___ 000 and Authorized by KMW: Code TO: 13200 000 000 and SHIPPING: 62700 064 000 Form Update: 03/23/2017