Copy and Print out this order form and mail it (with your cheque) into the Clubs P.O. Box
address, as indicated below.
Please note: The total prices indicated below, includes all shipping & handling, etc. (in
Canada). We will ship your item(s) usually within 7 working days, from receipt of your
cheque and order form.
Please contact Ross Walter for any specific information, or shipping costs outside Canada,
at: rosswalter@cogeco.ca Thanks for your support.
Posted Feb. 26, 2011

MODEL “A” OWNERS OF CANADA INC.
P.O. Box 31, Stn. A, Scarborough, Ontario, Canada, M1K 5B9

MERCHANDISE ORDER FORM: Shipping Address
Name:______________________________________________

Address:________________________________________________

City/ town: ____________________ Prov./State____________
Postal/Zip Code:_______________

Club Crest

3” Club Crest

Cost: $ 10

Qty:_____

$____________

50th Anniversary Crest

3" - 50th

Anniversary
Sew / Iron-on Club Crest.

Cost: $ 10

Qty:_____

$____________

Driving Cap

White Driving Hat

Cost: $ 17

Qty:_____

$____________

Rad Badge

Radiator

Badge

(Alum. Metal)

Cost: $ 14

Qty:_____

$____________

Name Badge

Plastic Name

Badge

Cost: $ 9

Qty:_____

$____________

3 Stickers Stickers - 3 per sheet

Cost: $ 3

Qty:_____

$____________

Mail this form to:
Model “A” Owners of Canada Inc.
Att: Ross Walter - Merchandise
P.O. Box 31, Station 'A'
Scarborough, Ontario
M1K 5B9

Make all Cheques and money orders payable to:

Model “A” Owners of Canada Inc.

Call or Email for shipping information if required.

MODEL “A” OWNERS OF CANADA INC. P.O. Box 31, Stn. A, Scarborough, Ontario, Canada, M1K 5B9

MERCHANDISE ORDER FORM: Shipping Address Name:______________________________________________

Cost: $ 10

Cost: $ 10

MODEL “A” OWNERS OF CANADA INC.
P.O. Box 31, Stn. A, Scarborough, Ontario, Canada, M1K 5B9

MERCHANDISE ORDER FORM: Shipping Address
Name:______________________________________________