	AMHERST BELT LINES
	HO Modular Railroad

a special interest group of the Amherst Railway Society, Inc. Amherst Belt Lines home Page

Amherst Belt Lines Apparel Order Form

Indicate size and quantity of each style of clothing you would like to order.
Payment may be made with your order, or upon receipt.
Print this form and send (along with your payment) not later than Thursday, December 28, 2000 to:

Clark Huber
54 Fox Hill Road
Ludlow, MA 01056-1322
Phone: 413/589-5519

Or paste this form into an email, fill it in and send to: chuber@charter.net

Name: _____________________________________

Address:____________________________________

City:_____________________ State:________ Zip Code:____________

Email Address:_______________________________________________

Please indicate size and quantity:

Item	Size	Quantity	Price
Short Sleeve Polo Shirt (Red/Black Cuffs and Collar/White Logo):	M L XL 2X Other:_____	$15.00 x ________	$________
Long Sleeve Polo Shirt (Red/White Logo):	M L XL 2X Other:_____	$18.00 x ________	$________
Sweat Shirt (Grey/Red Logo):	Size:_____	$15.50 x ________	$________
Jacket (Black /White Logo):	Size:_____	$40.00 x ________	$________

		Total	$________

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AMHERST BELT LINES

HO Modular Railroad

Amherst Belt Lines Apparel Order Form

Please indicate size and quantity: