NDW MERCHANDISE ORDER FORM

MERCHANDISE ORDER FORM

Mail orders with check or credit card info to:
National Dance Week, c/o UDMA, 376 MAIN ROAD, GRANVILLE, MA 01034
Fax number for Credit Card orders: 1-413 357-8889

Name: ________________________________________________

         ________________________________________________

Address: ______________________________________________

City/State/Zip: _________________________________________

Phone: _______________________ E-mail: __________________________

[     ] Check enclosed
[     ] VISA/Mastercard/American Express/Discover # _______________________________
                                            Expire date: ______________

Qty - Description

_____ T-Shirts,GREY/NDW Adult MA,$15.00

_____ T-Shirts,GREY/NDW Adult LA,$15.00

_____ T-Shirts,GREY/NDW Adult XLA,$15.00

_____ Window Decals $0.50 each

_____ Window Decals $5.00 per dozen

_____ Bumper Stickers $1.00 each

_____ Bumper Stickers $10.00 per dozen

_____ The Nutcracker Sweet $26.00

NEW MERCHANDISE

_____ Angelina Ballerina®/NDW© 2008 Poster $5.00 each

_____ Share American Dance With the World Poster $10.00 each

_____ NDW Holiday Ornament, Red # 8201 $4.95 each

_____ NDW Holiday Ornament, Green # 8202 $4.95 each

_____ Angelina Ballerina®/NDW 2007 Poster $5.00 each

____ Kickline donation in the amount of

$_______

TOTAL MERCHANDISE
Please add in shipping charge
Merchandise purchases of $1-$30.00, shipping is $5
Merchandise purchases of $30.01-$60.00, shipping is $8
Merchandise purchases of $60.01-$90.00, shipping is $12
Merchandise purchases of $90.01 and over, shipping is $15
Above applies to all USA orders. Thank You!

TOTAL DONATION

Total cost

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TOTAL ENCLOSED

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APRIL 25 - MAY 4, 2008
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