Alpine Club Of Williamsport, PA

Official Order Form (please print and mail to order)

Name _____________________________________________

Mailing Address _____________________________________

 __________________________________________________

City/Town _________________________________________

State ______________________ Zip Code _______________

Phone Number ______________________________________

E-mail address ______________________________________

_________ LT Trail Guide (with maps) $7.00 each
(20% discount per Guide for 10 or more, with $8.00 shipping charge)

_________ LT Patches $2.00 each

_________ LT Blazes $0.25 each

$_________ Subtotal of Items

$_________ 6% PA Sales Tax (only for items shipped to
locations in PA)

$_________ Shipping Charge $2.00 per LT Guide

Orders to be shipped outside of PA, or wholesalers and organizations in PA that have a tax-exemption number can omit PA Sales Tax.  For organizations in PA with a tax-exemption number, please send a copy of your Sales Tax and use Tax Exemption Certificate if this is the first time you have ordered from the Alpine Club.

Mail this form with your check to:

Alpine Club of Williamsport
PO Box 501
Williamsport PA 17703