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* Cascade 1200 Order Form *
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Item Cost Size Color Alt Color Quantity Total
---------------------------------------- ------ ---- ------------- ----------------- -------- -------
Men's Regular Banded Short Sleeve Polo $35.00 _____ _____________ _________________ ________ _______

Men's Tall Banded Short Sleeve Polo $39.00 _____ _____________ _________________ ________ _______

Women's Regular Banded Short Sleeve Polo $35.00 _____ _____________ _________________ ________ _______

Men's Regular Long Sleeve Polo $38.00 _____ _____________ _________________ ________ _______

Men's Big Long Sleeve Polo $43.00 _____ _____________ _________________ ________ _______

Women's Regular Long Sleeve Mesh Polo $38.00 _____ _____________ _________________ ________ _______

Men's Regular ThermaCheck Jacket $54.00 _____ _____________ _________________ ________ _______

Men's Big ThermaCheck Jacket $59.00 _____ _____________ _________________ ________ _______

Women's Regular ThermaCheck Jacket $54.00 _____ _____________ _________________ ________ _______

Men's Regular Fleece Vest $39.00 _____ _____________ _________________ ________ _______

Men's Big Fleece Vest $44.00 _____ _____________ _________________ ________ _______

Women's RegularFleece Vest $39.00 _____ _____________ _________________ ________ _______


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Name : _________________________________

Address : _________________________________

City : ______________________, State : ____ Zip : __________

Tel : ______________________ Email :______________________________


Please pay by check payable to Seattle International Randonneurs.
Send order form and payment to:
Bill Dussler
12709 Shorewood Pl SW
Burien, WA 98146