CVA  Order Form

Name:____________________________________________________
Address:__________________________________________________
Town: ________________________  State:_______ Zip Code:______
Country:__________________    

 

VIDEO Price QTY Total
25th  St Charles VHS  $25    
25th  St Charles DVD  $25    
26th  Nashua    VHS  $28    
26th  Nashua    DVD  $28    
POSTERS      
2002 Roanoke  $12    
2003 St. Charles $12    
2004 Nashua $12    
2004 Victory Ln $15    
2004 Photo Poster $15    
2004 Victory Ln 8 x 10 $12    
2004 Photo 8 x 10 $12    
Shipping        Per order         (free for orders over $50)   $3    
TOTAL  

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail To:  Tom Romiglio
                94 Beanhill Rd
                Northfield NH 03276

Make Check or Money order payable to: Tom Romiglio

Thank you for your order