Muster '97 Souvenir Order Form

note: All items may be sold out by now. Write to the address below before ordering.

Item Description:           Qty      Cost       Total
__________________________________________________________
Muster '97 Video Tape              $39.95
__________________________________________________________
Pewter Buckle                      SOLD OUT
__________________________________________________________
Dash Plate                          $4.00
__________________________________________________________
                                   Subtotal:
                                            ______________
Nebraska Residents add 6.5% State Sales Tax:
                                            ______________
                      Shipping and Handling:
       (Video $5, Buckle $5, Dash Plate $1) ______________
                                      Total:
                                            ______________ 
 
 
Mail Order To:
NCVFD Muster Committee
1409 Central Avenue
Nebraska City, NE 68410

Allow 4-6 weeks for delivery.

Payment Method:  __Check    __Money Order
     

SHIP TO:
     Name:

     Address:

     City, State & ZIP: