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ORDER MERCHANDISE
 Docs Who Rock Merchandise Order Form
PRICE QUANTITY ITEM
$5 Mug
$5 Short Sleeve T-Shirt
$17 Pre-Order 2009 DVD (free shipping on DVD orders)
(Please note: We do not know when DVD's will be completed.  They may not be ready for shipping until sometime in January)
 
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 mailed to Barb Stewart at United Way of Summit County, P.O. Box 1260, Akron, OH  44309-1260 or call Barb with your credit card information at 330.643.5533.

Questions?  Call or email Barb at 330.643.5533 or bstewart@uwsummit.org

United Way of Summit County
90 North Prospect Street < P.O. Box 1260 < Akron, OH 44309-1260 <Phone: 330.762.7601 < www.uwsummit.org
© 2010 United Way of Summit County.  All rights reserved.