Fall Fun Crop

Fall Fun Crop
November 12-13, 2011
Location: Sheraton Tower

Please print out this form and mail to:
DMF Events
1128 Highland Farms Dr.
Wentzville, MO 63385

 
Reservations Required

Deadline: October 31, 2011

Name: _______________________________________________________________
Address: _____________________________________________________________
City/State/Zip: ________________________________________________________
Phone: ________________________   Email:  _______________________________
Roommate: ___________________________________________________________
Fall Fun Crop: _____ $110.00 ea ____________

Shirt: You pick it your way! 1st - choose the style.  2nd - choose the color.  3rd - choose the size.

_____ Short Sleeve T
Color:  Navy     White    Black    Ash
Size:    S   M   L   XL   2X   3X
$13.00 ea ____________
_____ Long Sleeve T
Color:  Navy     White    Black    Ash
Size:    S   M   L   XL   2X   3X
$15.00 ea ____________
_____ Ladies T
Color:  Navy     White    Black    Ash
Size:    S   M   L   XL   2X   3X
$15.00 ea ____________
_____ Sweatshirt
Color:  Navy     White    Black    Ash
Size:    S   M   L   XL   2X   3X
$20.00 ea ____________
_____ Hoodie
Color:  Navy     White    Black    Ash
Size:    S   M   L   XL   2X   3X
$22.00 ea ____________
Total Enclosed $  ____________
Method of Payment to: Scrapology      Check      VISA      MasterCard
Card # _______________________________________________________________
Name on Card: ______________________________________  Exp. Date: ________
Signature: ____________________________________________________________

Call (636) 332-0243 for more information
or visit our web site: www.scrapologyusa.com