Hill 4-11 Association

Merchandise Order Form

(Please print and then complete order form)

Please use this order form to purchase items for sale by the Hill 4-11 Association and mail it as instructed below:

Your Name and Address:

Name:_______________________________________

Street:_______________________________________

City:_______________________  State:________  Zip:____________

Phone:___________________  E-mail Address:___________________

Date:__________________  Signature:_______________________________________



Please fill in the total for each item by multiplying quantity by price:


by Colonel Leslie J. Stottle
Hill 4-11 History Book, $17.50 each:   $  ______
Shipping:   $         3.00
Total:   $  ______

Please make check payable to Hill 4-11 Association and mail it along with this merchandise order form to:

Hill 4-11 Association
ATTN: Dick Hill, Treasurer
630 Woodside Dr.
Kent, OH 44240-2664