Lost Cherokee Order Form

Donator’s Name______________________________________
Address: ____________________________________________
____________________________________________________
Phone: ______________________________________


Lost Cherokee Pow-wow shirt
        (circle a size) S M L XXL XXXL
        Qty:  ______  X $15.00 Donation     =      $ __________
Pow-wow DVD
         Qty: ______  X $16.00 Donation      =     $ __________
Lost Cherokee License Plate
         Qty: ______  X $30.00 Donation      =      $__________
                                                                                       
                                                 Total       =      $__________