USMMA Commemorative Challenge Coins

Please send my coin (s) to Name ______________________________________________________

Address____________________________________________________________________________

City, State, Postal Code ______________________________________________________________

Number of 2006 Coins _______________  Total at $15 per coin (includes S/H)____________________

Number of 2007 Coins _______________  Total at $15 per coin (includes S/H)____________________

Number of 2008 Coins _______________  Total at $15 per coin (includes S/H)____________________

One set of 3 all years _______________ Total of $35 for 3 coins (includes S/H) __________________

Order $  Total __________________

Send Check/Money Order and this order form to Scott Shephard, Treasurer, 3199 S 500 E; Marion, IN  46953.

Copyright © 2008 USMMA Parents Club of Ind/Ky/Tn
Last modified: 02/26/08