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The National Chincoteague Pony Association Name/Size __________ Amount Due _________
__________________________________________________________________
X___________________________________________________________________ UPS or Federal Express Account # (for direct-bill freight): ___________ *** Please fax your completed forms to 360-671-7603 ***
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Name:![]() ![]() |
Address:![]() |
City:![]() ![]() ![]() ![]() |
QTY: |
DESCRIPTION: |
UNIT AMOUNT: |
AMOUNT: |
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The National Chincoteague Pony second book titled: Chincoteague Ponies On The Assateague Island $20 Donation |
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The 2008 Chincoteague Pony Calendar!!!! $30 Donation. |
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8 1/2"x 11 " colored laser prints
suitable for framing. Ponies Grazing or Ponies Heavy with Foals (circle choice) $10 Donation. |
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17" x 11" colored laser prints
suitable for framing. Ponies Grazing or Ponies Heavy with Foals (circle choice) $40 Donation. |
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A 35 minute VCR video
(color)
Chincoteague Ponies On The Farm $20 Donation. |
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Photo T-Shirts
- Adult sizes, S, M, L, XL, XXL and Child Sizes S, M, L
$25 Donation. |
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Photo Ceramic Mugs
- 11oz. mugs
$15 Donation. |
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Photo Sweatshirts -
Adult sizes S, M , L, XL, XXL, and Child sizes S, M, L
$30 Donation. |
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Huge Farm Bibs
- 13 1/2" x 17 1/2" package of 3 Blue Pink Yellow White Mixed (circle choice) $20 Donation. |
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Post Cards 4 Post card designs in one package $5 Donation |
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TOTAL: | ![]() |
Please allow 7-10 days for delivery.