Mail-in Order Form

Items

Price

Quantity

Size (circle one)

Color (circle one)

Total

#602 AIDS T-Shirt

$14.75

#

M, L, XL, XXL

Gray or White

$

#601 FAS T-Shirt

$14.75

#

M, L, XL, XXL

Gray or White

$

#604Traditional Feeding T-Shirt

$14.75

#

M, L, XL, XXL

Yellow

$

#605 Violence Against Women T-Shirt

$14.75

#

M, L, XL, XXL

Cream

$

#603 Stop Smoking T-Shirt

$14.75

#

M, L, XL, XXL

White

$

#607 FAS Sweatshirt

$33.00

#

M, L, XL

White, or Gray

$

#607 FAS Sweatshirt

$36.00

#

XXL

White, or Gray

$

#607 FAS Sweatshirt

$42.00

#

3XL, 4XL

White, or Gray

$

#608 Mother Earth Sweatshirt

$33.00

#

M, L, XL

White, or Gray

$

#608 Mother Earth Sweatshirt

$36.00

#

XXL

White, or Gray

$

#608 Mother Earth Sweatshirt

$42.00

#

3XL, 4XL

White, or Gray

$

#806 AIDS Tote Bag

$12.00

#

-

Cream

$

#805 Violence Against Women Tote Bag

$12.00

#

-

Cream

$

#804 Protect Mother Earth Tote Bag

$12.00

#

-

Cream

$

#801 AIDS Mug

$7.00

#

-

White

$

#803 Violence Against Women Postcards (Package of 12)

$4.00

#

-

-

$

#802 AIDS Postcards (Package of 12)

$4.00

#

-

-

$

#807 Domestic Violence Mouse Pad

$12.00

#

-

Gray

$

#524 Dakota Language Workbooks, Volume I & II and Audio CD

$14.00

#

-

-

$

#811 Vince Two Eagles T-Shirt

$14.00

#

L, XL, XXL

Beige

$

#809 Vince Two Eagles Tape

$10.00

#

-

-

$

#810 Vince Two Eagles CD

$12.00

#

-

-

$

#734 Dakotah Language CD 1 with Clarence Rockboy

$12.00

#

-

-

$

#735 Dakotah Language CD 2 with Lynda Squirrel Coat

$12.00

#

-

-

$

#126 Teen Dating Violence Prevention Curriculum/Facilitators Guide

$ 12.00

#125 Teen Dating Violence Prevention Curriculum/Work Book

$ 10.00

#

-

-

$

Shipping and Handling:

Include $10.00 for $0.00 to $50.00 or $12.00 for $50.00 to $100.00

Shipping & Handling: $____________

SD residents add 6% sales tax: $_________

TOTAL: $______________________

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_____web surfing

_____mail from the resource center

_____a friend recommended the site

_____other: __________________________________