Merchandise Order Form

Merchandise Order Form - Must be printed, completed and mailed to Lycoming Audubon, PO Box 4053, Williamsport, PA 17701-6053 with a check or money order payable to "Lycoming Audubon"

Name(s) _________________________________________________________________________________

Mailing address ___________________________________________________________________________

City __________________________________________ State _____ Zip (+4) _________________________

Telephone number, if we need to contact you on your order (_________)______________________________

John James Audubon "Birds of America" Reprints
Reprint name		.	how many	.	shipping	.	line total
					(see last line)
Spruce Grouse	$10.00		________				________
Tropic Bird	$10.00		________				________
American Green winged Teal	$10.00		________				________
Louisana Hawk	$10.00		________				________
			________				________
Purple Heron	$10.00		________				________
Red-breasted Merganser	$10.00		________				________
Great Northern Diver or Loon	$10.00		________				________
Cock of the Plains	$10.00		________				________
Porfolio set of the above four	$40.00		________		?		________
					email us
*only one each of the following 8 are available*
Band-tailed Pigeon	$10.00						________
Arctic Tern	$10.00						________
Blue-Winged Teal	$10.00						________
Florida Jay	$10.00						________
American Magpie	$10.00						________
Brown Pelican	$10.00						________
Painted Finch	$10.00						________
Yellow breasted Chat	$10.00						________
One charge, entire order (not portfolio set), will be shipped rolled in a tube					$4.00		________
_____________________________________________________________________
Lycoming Audubon Collectible Patches
Patch name		.	how many	.	shipping		sub total
Peregrine Falcon Project - 1997	$5.00		________				________
Barn Owl Project - 1998	$1.00		________				________
Butterfly Garden - 1999	$1.00		________				________
Bluebird Conservation - 2000	$1.00		________				________
Hummingbird Garden - 2001	$1.00		________				________
Wetland Conservation - 2002	$1.00		________				________
Bat Conservation - 2003	$1.00		________				________
Christmas Bird Count - 2004	$1.00		________				________
Grassland Birds - 2005	$1.00		________				________
Purple Martin Project - 2006	$1.00		________				________
Owl Banding Project - 2007	$1.00		________				________
Chapter Logo	$1.00		________				________
Complete Set of 12	$15.00		________				________
_____________________________________________________________________
Miscellaneous Items
Item Description		.	how many	.	shipping		sub total
Rob Palmer Eagle Photo	$ 125.00				?		________
Only 1 copy available					email us
Peter Parnall - Peregrine on Eggs	$ 129.99				?		________
Only 1 copy available					email us
JJ Audubon Reprint - Canada Goose	$ 200.00				?		________
Only 1 copy available					email us
Print - "Return to Penn's Woods"	$   45.00		________		$4.00		________
				(up to 3 copies)
J.J. Audubon "Birds of America" Book
This is a 1966 reprint	$125.00				$12.65		________
Only 1 copy available
________________________________________________
LAS Chapter pin	$3.00		________		*		________
National Audubon pin	$5.00		________		*		________
	* One charge, all pins				$2.25		________
________________________________________________
_____________________________________________________________________
Handmade Feeders, Bird and Bat Boxes
Bluebird Box			how many	.	shipping		sub total
Unpainted	$22.00		________		?		________
Painted					email us
Green	$29.00		________				________
Gray	$29.00		________				________
Brown	$29.00		________				________
House Wren Box
Unpainted	$22.00		________		?		________
Painted					email us
Green	$29.00		________				________
Gray	$29.00		________				________
Brown	$29.00		________				________
Wood Duck Box
Unpainted	$37.00		________		?		________
Painted					email us
Green	$47.00		________				________
Gray	$47.00		________				________
Brown	$47.00		________				________
Woodpecker Box
Unpainted	$39.00		________		?		________
Painted					email us
Green	$49.00		________				________
Gray	$49.00		________				________
Brown	$49.00		________				________
Bat Box
Only comes in Brown	$33.00		________		?		________
					email us
Kestral or Screech Owl Box
Unpainted	$37.00		________		?		________
Painted					email us
Green	$47.00		________				________
Gray	$47.00		________				________
Brown	$47.00		________				________
	Total sales						________
	Sales tax, PA sales, 6%						________
	Total remitted						________