Order Form


"First in the West with Emblems" Since 1917


Lindeburg & Company
participates in the International
Assembly and several PETS
seminars each year, providing
high quality Rotary
merchandise to incoming
Rotary officers.

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Order Form

ATTENTION DISTRICT GOVERNORS 2012-2013
CLICK HERE to order your 2012-2013 Theme Pins, Theme Banners, and Engraved Rotary Badges
 for your District Leadership Team and pick them up at the International Assembly in San Diego,
.

Use Our E-Commerce Web Site to Order On Line

Lindeburg Logo

Lindeburg & Company Order Form
Print, Complete & Fax to:   (650) 592-4803

Use Order Form Below to Order by Mail or Fax

Name:  
Title:  
Organization:  
Mailing Address:  
Phone Number:  
Fax Number:  
E-mail address:  
Order Blank
  Quantity Item # Page # Description Price Total
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10            
Sub-Total  
In CA. Appropriate Tax  
Shipping (see chart below)  
Total  
Note: For Additional items, please attach your list on a separate piece of paper.
Special order merchandise and merchandise that is embossed or engraved may not be returned.
Please Include Shipping & Handling as Follows:  
If order is up to $5.00 add $ 2.95 Full Payment Enclosed - Check or Money Order o
If order is up to $10.00 add $ 3.95 Please charge my credit card:  
If order is up to $20.00 add $ 4.95 Visa o
If order is up to $30.00 add $ 5.95 Master Card o
If order is up to $50.00 add $ 6.95 American Express o
If order is up to $75.00 add $ 7.92 Discover o
Over $75.00 add $ 8.95 Card Number:
Add $7.00 extra for registered Mail   Expiration Date: (month / year) _________/_______
Credit Card Minimum Order $10.00
Credit Card Signature:


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