PME Merchandise Order Form for Individuals
TYPE or PRINT CLEARLY in DARK INK
Name of Member ____________________________________
(required for pins or cords)
Name of Chapter _____________________________________ (required for pins or
cords)
Approximate Date of Member Inititation
__________________ (required for pins or cords) Name and address of person to whom merchandise should be sent:
Name ____________________________________________________
Date of Order _____________
Address _____________________________________________________________________________
(with Zip Code) _______________________________________________________________________
E-mail Address __________________________________Phone (with area
code):__________________
|
Item |
Quantity |
Price |
||||||||
|
Honor Cords |
|
$12.00 per set of cords [Note: PME Advisors can order four or more sets of cords at $10 per set using the Advisor order form.] |
||||||||
|
Pins |
|
$20.00 per pin |
||||||||
|
T-Shirts |
|
$10.00 per shirt |
||||||||
|
Printed Constitution and Bylaws |
|
$1.00 per set |
||||||||
|
MathAcrostics booklets |
|
$5.00 per booklet |
Please enter the number of Honor Cords _____ @ $12
= $
________
Please enter the number Pins _____ @ $20
= $ ________
Please enter the number of T-Shirts _____ @ $10
= $ ________
Please enter the number of Consitutions _____ @ $1
= $
________
Please enter the number of MathAcrostics _____ @ $5
= $ ________
For rush DHL orders only: Next
Day @ $20; Second Day @ $10 $_________
Total Enclosed $ ________
Mail with check payable to Pi Mu Epsilon to:
Dr. Leo J. Schneider; Math Dept;