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 Docs Who Rock Merchandise Order Form
PRICE QUANTITY ITEM
$5 Short Sleeve T-Shirt
$17 DVD of the 2011 Docs Who Rock  (free shipping on DVD orders)
 
Merchandise Total $
Shipping Add $5 to have your item(s) mailed to you
(DVD Orders will Ship for Free)
Do not add shipping - I will pick up my order at
United Way, 90 North Prospect St., Akron, OH  44304
Total $
     
  Name
  Address
  City, State, Zip
  Daytime Phone
  Comments/Notes

Print this page for your records before submitting.

Please note: Payment must be made before your order will ship.  Checks can be made out to United Way of Summit County and mailed to Andi Reed at United Way of Summit County, 90 North Prospect St., Akron, OH  44304-1273 or call Andi with your credit card information at 330.643.5502.

Questions?  Call or email Andi at 330.643.5502 or areed@uwsummit.org

United Way of Summit County
90 North Prospect Street < Akron, OH 44304-1273  <Phone: 330.762.7601 < www.uwsummit.org
© 2010 United Way of Summit County.  All rights reserved.