Lancaster Bicycle Club Merchandise Order Form

  DESCRIPTION Quantities PRICE
(Member/
Non-member)

Total
2006 Club Jersey

Men's Sizes
S_____

M_____

L______

XL______

XXL______

XXXL_____

Women's Sizes
XS_____

S_____

M_____

L______

XL______

XXL_____

$55/65  
LBC shorts

Men's Sizes
S_____

M_____

L______

XL______

XXL______

XXXL_____

Women's Sizes
XS_____

S_____

M_____

L______

XL______

XXL_____

$55/65  
NEW FOR 2005
Covered Bridge Metric Jersey

S_____

M_____

L______

XL______

XXL_____

$55/65  
LBC Club Jersey

M_____

L______

XL______

XXL_____

$56/66  
Club Wind Vest.

S_____

M_____

L______

XL______

XXL_____

$40/50  
LBC Tee Shirt

XXL______

$8/10  
2004 Covered Bridge
Metric Tee Shirt
XXL______

XXL______ (Tangerine color)
$8/10  
LBC Wind Jacket

S_____

M_____

L______

XL______

$35/45  
Old style LBC Wind Jacket XXL______ $35/45  
LBC Patch ______ $1/1  
Shipping
$5.00 for the first item plus $1.00 for each additional item (excluding patches)
 
Order Total  

Send order to:

Name:__________________________________________

Address:________________________________________

City, St & Zip:_____________________________________

Phone:( _______)__________________________________

Please print a copy of this form, make your check payable to Lancaster Bicycle Club and mail to:

Lancaster Bicycle Club
PO Box 535
Lancaster, PA 17608-0535