The 15th Annual
 Elephant Garlic Festival!
 August 10 - 12, 2012
 Mail Check or Money Order Along With This Form To:
North Plains Chamber of Commerce
 P. O. Box 152  ~  North Plains, Oregon  97133
(503) 647-2619  ~ Fax: (503) 647-5349 (Call Before Faxing)
For Questions Email Patti Burns:   lochlolly1@aol.com
 

Name:                 
Mailing Address:
City/State/Zip:    
Phone # Day:       
Phone # Evening:
Email Address:      
Check Enclosed   Money Order Enclosed
 Visa  MasterCard
Card Number     Exp:

Print Completed Form To Above Address

Items:
2007 Poster:
$5.00 + $2.00 S/H

2007 T-Shirts:
$15.00 + $3.00 S/H
"Celebrating A Decade of Fun" T-Shirt
Sizes- Adult:
SM-M-L-XL-XXL-XXXL-XXXXL

Can call too place order at
(503) 647-2619
QTY ITEM SIZE PRICE
EACH		 TOTAL
PRICE

  GRAND TOTAL: