Please make checks or money order payable to Lycoming Audubon Society:
Print this form and mail to:

Ron Beach
1217 Cedar Street
Montoursville, PA 17754

 
Name:
Address:
City: State: Zip:
 
Item Unit Cost* Qty Subtotal Shipping Total
2005 Grassland Birds Patch***4" $5.00        
2006 Purple Martin Patch $5.00        
LAS Patch***4" $5.00        
Peregrine Patch***4" $7.50        
Barn Owl Patch***4" $5.00        
Butterfly Garden Patch***4" $5.00        
Bluebird Conservation Patch*** 4" $5.00        
Hummingbird Patch***4" $5.00        
Wetland Conservation Patch***4" $5.00        
Bat Conservation Patch***4" $5.00        
Christmas Bird Count***4" $5.00        
LAS Pin     1" $3.00     $  .50  

* Unit prices include Pennsylvania sales tax.

*** Shipping charges for all patches in combination.  Patches designed by artist Ron Beach.

1
2-3
4-6
7-10
11 or more
-  .50
-  .65
-  .85
- 1.00
- Free


These prices are effective as of August 2007 and are subject to change.