POLAR BEAR RIDE
Patches, Pins & Rockers
Main patches ordered: _________ @ $ ______ = $ ____________ Teddy or Biker -  circle one

2017 Rockers ordered: _________ @ $ ______ = $ ____________  white or blue background - circle one
2016 Rockers ordered: _________ @ $ ______ = $ ____________  white or blue background - circle one         
2015 Rockers ordered: _________ @ $ ______ = $ ____________  white or blue background - circle one


                                 TOTAL     = $ ____________
Name: ___________________________________    Phone: __________________________
Address: __________________________________   Email: __________________________
City: _________________________   State:  _____     Zip: ___________________________
Send order form with credit card info, check or money order to:
Piper's Enterprises LLC
575 County Rd. 159
Westcliffe, CO  81252
          For Visa, MasterCard or Discover payment:
Name on Card
(if different from above): _____________________________________
Address
(if different from above): __________________________________________
City:  _________________________   State: ______    Zip: __________________
Credit Card No.:  ______  -  ______  -  ______  -  _______    
Expiration (mm/yy):  ____  / ____       CVV2  (3-digit number on back) _______
questions:
Sales@PipersEnterprises.com or call 913-269-0497
Main Patch
1 - 9    =  $6.00
10 - 19   =  10% discount
20 - 49   =  15% discount
To mail in payment print off this page and proceed below
Contact us for prices on Custom Patches (see samples
below).  Initial quantity must be at least 25
Teddy Bear
Biker Bear
2017 & 2016 Rocker:
1 - 19   =  $1.50
20 - 49  =  $1.25
50 - 99  =  $1.00
Year Rockers
white w/blue lettering & border
blue w/white lettering & border
Counter
***** PLEASE NOTE *****
there will be a small order charge of $1 on all orders under $5
Harley Bear
2017 Pin
2017 Pins will be made if we get enough interest to run at least 30.  
They will cost $6.00 and include $2.00 for postage (unfortunately
they cost a lot more to send through U.S. Mail now).

If you are interested please contact us at the email address below and
indicate how many you want.   We also have some prior years pins in
stock.