Bayside Riders Merchandise Order Form

(*) denotes required fields

Name: *

Address: *

City: * State: * Zip Code:*

Email: (required for order receipt)

Phone: *

Item	Quanity	Order Comments	Price
1.25" x .75" Club Pin $5.00			$
3" x 2" patch (shirt/hat size) $10.00			$
10" x 6" patch (vest/coat size) $27.00			$
11" x 18" black bike towel with 3" x 2" embroidered logo $14.00			$
Member-supplied garment with 3" x 2" embroidered logo $10.00			$
Member-supplied garment with 10" x 6" embroidered logo $27.00			$
		Tax:	$
		Order Total:	$

You will be contacted shortly to confirm your order and make payment arrangements.

Thank you for your order!