| POLAR BEAR RIDE Patches, Pins & Rockers |
Main patches ordered: _________ @ $ ______ = $ ____________ Teddy or Biker - circle one
2017 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2016 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2015 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
TOTAL = $ ____________
2017 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2016 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2015 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
TOTAL = $ ____________
Name: ___________________________________ Phone: __________________________
Address: __________________________________ Email: __________________________
City: _________________________ State: _____ Zip: ___________________________
Address: __________________________________ Email: __________________________
City: _________________________ State: _____ Zip: ___________________________
| Send order form with credit card info, check or money order to: Piper's Enterprises LLC 575 County Rd. 159 Westcliffe, CO 81252 |
| For Visa, MasterCard or Discover payment: Name on Card (if different from above): _____________________________________ Address (if different from above): __________________________________________ City: _________________________ State: ______ Zip: __________________ Credit Card No.: ______ - ______ - ______ - _______ Expiration (mm/yy): ____ / ____ CVV2 (3-digit number on back) _______ |
| questions: Sales@PipersEnterprises.com or call 913-269-0497 |
| Main Patch 1 - 9 = $6.00 10 - 19 = 10% discount 20 - 49 = 15% discount |
| To mail in payment print off this page and proceed below |
| Contact us for prices on Custom Patches (see samples below). Initial quantity must be at least 25 |
| Teddy Bear |
| Biker Bear |
| 2017 & 2016 Rocker: 1 - 19 = $1.50 20 - 49 = $1.25 50 - 99 = $1.00 |
| Year Rockers white w/blue lettering & border blue w/white lettering & border |
| ***** PLEASE NOTE ***** there will be a small order charge of $1 on all orders under $5 |
Harley Bear
| 2017 Pin |
| 2017 Pins will be made if we get enough interest to run at least 30. They will cost $6.00 and include $2.00 for postage (unfortunately they cost a lot more to send through U.S. Mail now). If you are interested please contact us at the email address below and indicate how many you want. We also have some prior years pins in stock. |