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(Please print this form out, fill out and mail, along with membership fee to the address below)
 
Physically Challenged Bowhunters of America, Inc.
CUSTOM SPORTSWEAR ORDER FORM
Now available to PCBA members are the following items which can be proudly worn to show
YOUR support for our organization. All items are top quality and come with a money back guarantee.
CIRCLE OR FILL IN QUANTITY
 
T-SHIRT W/POCKET 
100% COTTON PRE-SHRUNK  
HANES BEEFY-TEE $ 11.00 ea. 
LIGHT GRAY  
  
DARK GREEN 
__S__M__L__XL__XXL  
  
__S__M__L__XL__XXL
____________  
  
____________ 
SWEATSHIRT LIGHT GRAY____________  
HANES 9 OZ 
HEAVYWEIGHT $ 20.00 ea.____________ 
LIGHT GRAY 
  
DARK GREEN 
 __S__M__L__XL__XXL  

 __S__M__L__XL__XXL 

____________  
  
____________ 
STAFF SHIRT 
HANES 50/50 W/COLLAR  
AND POCKET $ 20.00 ea. 
LIGHT GRAY 
  
DARK GREEN 
 __S__M__L__XL__XXL  

 __S__M__L__XL__XXL 

____________  
  
____________ 
PCBA SPORTS CAP 
ADJUSTABLE SIZE W / MESH BACK  
W / PCBA PATCH $ 8.00 ea.
TREEBARK CAMO 
FOREST GREEN
____________  
____________ 
ADD YOUR NAME TO SHIRTS $ 3.50 ea. NAME ____________ 
EMBROIDERED PATCHES $ 5.00 ea. + .55 POSTAGE 
EXTERNAL WINDOW DECAL $ 1.00 ea. + .32 POSTAGE
  
MERCHANDISE TOTAL  
SHIPPING  
SUBTOTAL   
 TOTAL
__________ 
__________  
__________ 
__________
 
 
SHIPPING CHARGES  

ORDERS UP TO $11.00 ADD $2.95  
ORDERS $11.00 - $30.00 ADD $3.95  
ORDERS OVER $30.00 ADD $ 4.95  
 
 

Send Completed Order Form Along With Your Check or Money Order To:  
PCBA, INC., RR 1 BOX 470, NEW ALEXANDRIA, PA 15670-9240 
Phone (724) 668-7439 
  
NAME____________________________________ 

ADDRESS________________________________ 
  
CITY _____________________________________ 

STATE/ZIP________________________________ 
  
PHONE__________________________________ 
  
Please allow 4 - 6 weeks for delivery.

 

 

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