Name:______________________________________
Address:_____________________________________
City:________________ ST: ___ Zip:_________
Phone:____________________ Email:_____________
|
Item |
Cost |
Number Wanted |
Total Cost |
|
Burgee |
$30.00 |
|
|
|
Decal |
$5.00 |
|
|
|
|
|
Total Cost: |
|
Delivery Information
___Please bring my order to the marina and I'll pick it up there.
___Please mail my order to the address above.
Print this form and mail, with a check payable to "Regent Point Yacht Club" to:
Regent Point Yacht Club
C/O Steve Charbonneau
10955 Brandy Wood Ter