Fence Sign Order Form

YES, I WOULD LIKE TO PURCHASE

A SIGN TO SUPPORT P.O.O.C.H.


NAME: __________________________________________________________________________

ADDRESS: _______________________________________________________________________

CITY: ________________________________________STATE _______ZIP CODE __________

PHONE ___________________________________________



20 LETTERS PER LINE/MAXIMUM OF 3 LINES

I WOULD LIKE THE FOLLOWING ON MY SIGN:
________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________


MAKE PAYMENT WITH ORDER PAYABLE TO P.O.O.C.H
$50.00 DONATION PER SIGN


MAIL ORDER TO:

P.O.O.C.H.
P.O. BOX 962
CITRUS HE1CHTS, CA 95611