Your information

Today's Date * +

Full Name *

Address *

City, State Zip+4 *

Contact Phone Number *

Alternate Phone Number

Contact email address *

Confirm email address *

Club # and Name *

Your Order ~ Enter the number desired ~ Remember to add SHIPPING at the bottom of the form!

Enter the quantity for each item to be ordered.

	HTI 1 - Member ($7.00)
	HTI 2 - Charter Member ($7.00)
	HTI 3 - H-12 Logo with S&C ($7.00)
	HTI 4 - Club President ($10.00)
	HTI 5 - Secretary ($7.00)
	HTI 6 - Treasurer ($7.00)
	HTI 7 - Chaplain ($7.00)
	HTI 8 - Vice President ($7.00)
	HTI 9 - Club Past President ($7.00)
	HTI 10 - State President ($7.00)
	HTI 11 - Past State President ($7.00)
	HTI 12 - Past International President ($100.00)
	HTI 13 - 10 Year Membership ($7.00)
	HTI 14 - 25 Year Membership ($7.00)
	HTI 15 - 50 Year Membership ($7.00)
	HTI 16 - Custom Bolo ($15.00)
	HTI 17 - Emblem Bolo ($7.50)
	HTI 18 - $100 Endowment Fund ($100.00)
	HTI 19 - 5" Auto Decal ($2.00)
	HTI 20 - 1" Decal - 12 per sheet ($1.00)
	HTI 21 - Crystal Necklace (15.00)
	HTI 22 - Earrings [screw back] (7.00)
	HTI 23 - Cuff Links (15.00)
	HTI 24 - Widows Pin (5.00)
	HTI 25 - Tie Chain (10.00)
	HTI 26 - Key Ring with Fob (5.00)
	HTI 27 - Emblem Flats (2.00)
	HTI 28 - Perfect Attendance Tabs (1.00)
	HTI 29 - 2021 Monthly Pocket Planner (Suggested $12.00))
	HTI 30a - Neck Tie (25.00)
	HTI 31 - License Plate Holder (10.00)
	HTI 33 - Khaki Baseball Cap (20.00)
	HTI 34 - 2.25" or 3.25" Round Member Badge (0.00)
	HTI 35 - Large Emblem Flat (7.00)
	HTI 36 - Auto/Plaque Emblem With S & C (5.00)
	BANNER #1 Association Standard Base (110.00)
	BANNER #2 Association Professional Base (140.00)
	BANNER #3 Club Standard Base (110.00)
	BANNER #4 Club Professional Base (140.00)
	BANNER #5 Wolcott Standard Base (110.00)
	BANNER #6 Wolcott Professional Base (140.00)

REQUIRED SHIPPING for items HTI 1-36 is $3.30 per order. Enter $.00 for banners - shipping is included. *

Click on calculate below to update the cost of the entire order.

Order Total: Click on calculate to update -

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Special Order Details:

For banners: provide as appropriate; association name, club name and number, (city/state and charter date are optional!) and state.

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