VICTORY SHOPS "SPIRIT STORE" - Mail Order Form

      
Brushton Moira Central School "Panthers"

For ordering Brushton-Moira Panthers apparel and merchandise by mail:
1.  Please print this page. 
2.  Be sure to complete ALL of the information boxes so that one of our courteous Customer Service
     Representatives can contact you, if there is any question in completing your order.
3.  Please mail the completed order form, along with your check or money order for the total amount
     including sales tax and mailing, payable to "Victory Promotions." Sorry, no cash or C.O.D.'s please!
4.  Very Important:  U.P.S. does not deliver to post office boxes.  We MUST have your STREET ADDRESS --
     not a Post Office Box -- for U.P.S. delivery! 
5.  Address your order to:  Victory Promotions, 23758 N.Y.S. Route 12, Watertown, NY 13601.
6.  Please allow 3 weeks for delivery of your order!


Name: _________________________________________________  Phone Number (         ) _______________________

Street Address (not P.O. Box) ________________________________________________________________________

City: _____________________________________  State/Province:  ____________  Zip/Postal Code: ______________

E-Mail Address: ___________________________________  Business/Organization: ___________________________
    

Brushton-Moira Logo #1 = Full Panther, Logo #2 = Panther Head 

Order
Quantity		 Item Number & Description

Color

Select
B-M
Logo

 Size

Unit Price

 Multiply
Quantity
x Unit Price
  8000/8000B Gildan Ultra Blend 50/50 T-Shirt        $8.50  
  2400 Gildan Ultra Cotton Long Sleeve T-Shirt        $13.00  
  Hanes Soft L'ink Printed T-Shirt        13.00  
  F260 Hanes U.C. PrintProŽ Sweatshirt       $16.00  
  F170 Hanes U.C. Hooded Pullover Sweatshirt        $25.00  
  4662B Youth Jerzees Super 50/50 Sweatshirt        $15.00  
  996Y Youth Jerzees 50/50 Hooded Sweatshirt        $20.00  
   4423 Adult Nylon Mini Mesh 2-Ply Shorts          $18.00   
   4413 Youth Nylon Mini Mesh 2-Ply Shorts          $16.00   
  9052 Holloway Closer Nylon Pullover Jacket        $35.00  
  3450 Adult Micro Poly Full-Zip Jacket & Pants        $59.00  
  3451 Youth Micro Poly Full-Zip Jacket & Pants        $59.00  
  SP10 Long Sleeve Value Denim Shirt

 x

      $23.00  
  BB350 Luna Pier Brushed Twill Sandwich Cap

  

     x $12.00  
  Anvil 2002 50/50 Pique Golf Shirt        $18.00  
  CP91 Beanie Cap Touque        $12.00  
  I-MUG - 11 oz. Coffee Mug x     x $6.00  
  I-5660 - Trailer Hitch Cover with Insert x     x $12.00    
  Mouse Pad with Sublimated Logo Image        x $7.00      
 
    To Our Valued On-Line Customers:
    Please carefully re-check all of your price calculations for accuracy.
    Errors in the totals will cause your order to be delayed.
    A representative of VictoryShops.com will contact you if there are
    any questions regarding your order.

    Please send this completed Order Form along with full payment to:
    Victory Promotions, 23758 N.Y.S. Route 12, Watertown, NY 13601.
    
    Thank You for Shopping with VictoryShops.com!

 Your
Subtotal

          
   
   

Shipping:
7% of Subtotal

       

Sales Tax
7% of
Subtotal

       

 Final Total