| name | _____________________________________ |
| address 1 | _____________________________________ |
| address 2 | _____________________________________ |
| city, state, zip | _____________________________________ |
| email: | _____________________________________ |
| quantity | item | price each | price total |
| Robot Programming Challenge Award Medal | $6.00 | ||
| Web Animation Challenge Award Medal | $6.00 | ||
| Web Multimedia Challenge Award Medal | $6.00 | ||
| Digital Video Challenge Award Medal | $6.00 | ||
| Subtotal | |||
| Shipping - Priority Mail | $3.85 | ||
| TOTAL |
Please fill out this order form and make your check for the total amount to Computer Challenge. Mail form and check to:
Computer Challenge
804 Mt. Vernon
Ann Arbor, MI 48013
Your medals will be shipped to you by Priority Mail.
Questions? Contact David
Coupland at david@techclubs.org or 734-995-5344.