| POLAR BEAR RIDE Patches, Pins & Rockers |
Main patches ordered: _________ @ $ ______ = $ ____________ Teddy or Biker - circle one
2012 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2011 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2010 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2012 Pins ordered: ____________ @ $ ______ = $ ___________
2011 Pins ordered: ____________ @ $ ______ = $ ___________
2010 Pins ordered: ____________ @ $ ______ = $ ___________
TOTAL = $ ____________
2012 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2011 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2010 Rockers ordered: _________ @ $ ______ = $ ____________ white or blue background - circle one
2012 Pins ordered: ____________ @ $ ______ = $ ___________
2011 Pins ordered: ____________ @ $ ______ = $ ___________
2010 Pins ordered: ____________ @ $ ______ = $ ___________
TOTAL = $ ____________
Name: ___________________________________ Phone: __________________________
Address: __________________________________ Email: __________________________
City: _________________________ State: _____ Zip: ___________________________
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 = $4.00 10 - 19 = $3.60 20 - 49 = $3.40 50 - 99 = $3.00 |
| 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 20 |
| Teddy Bear |
| Biker Bear |
| Now stocking 2012, 2011 & 2010 PBR Pins 1 1/8" 1 - 9 = $4.00 10 - 24 = $3.60 25 - 49 = $3.40 |
2012, 2011 & 2010 Rocker:
1 - 19 = $1.50
20 - 49 = $1.25
50 - 99 = $1.00
1 - 19 = $1.50
20 - 49 = $1.25
50 - 99 = $1.00
| Year Rockers |
| Polar Bear Ride Pins |
2010 actual pin scan
Pin Size - 1 1/8" diameter
