160z Tervis Tumbler $30
Playing Cards $10
peggy karr ornament $20
Royal Court Tags $2/ea
Item
Price Each
Tervis Tumbler
$30
Playing Cards
$10
Paperweight
$15
Ornament
$20
Escort Tag
$2
Princess Tag
$2
Page Tag
$2
Coffee Mug
$18
Quantity
paperweight $15
coffee mugs $18
$ Total
Cardholder Name __________________________________
CREDIT CARD INFORMATION:
Address ___________________________________________
☐ Amex ☐ Discover ☐ MasterCard ☐ Visa
City _____________________ St. __________ Zip_________
CC # _____________________________________
Email ______________________________________________
Exp Date: ___ ___ / ___ ___
Order Total $ ____________
Billing Address: (if different than shipping)
Check: (please make payable to AKSARBEN)
Address __________________________________
Please remit to: AKSARBEN Friends AKSARBEN Foundation 7101 Mercy Road, Suite 320 Omaha, NE 68106
CVV #: __ __ __
City _____________ St. ________ Zip __________ * A $5.00 Shipping fee will apply to all orders that must be shipped.
All funds raised through the purchase of commemorative AKSARBEN memorabilia goes towards the AKSARBEN Friends Community Grant Program and AKSARBEN / Horartio Alger Career Scholarships (P) 402-554-9600 | (F) 402-554-9609 | Email:
[email protected]
