Order Form

MSRA JACKETS MAIL ORDER INFORMATION AND ORDER BLANK
1
JACKET TYPE
JACKET TYPES:
(All orders are placed on the 3rd Tuesday of the month.)
Wind = Pull-over, V-neck. Embroidery available on front right chest only. Customer name not available.
Baseball / Satin = Available in flannel or quilted lining. The Royal-White, Navy-White & Black-White have striped cuff and collar.
Baseball / Poplin = Available in flannel or quilted lining.
Olympian / Hooded = Cotton lining, w / zipper.
2
HERO w / Leather Sleeves = Quilted lining. Standard color: black. Add’l colors available; add $35 per jacket & must allow 8 weeks.
Three Season Zip-up = Fleece lined. Zip pockets inside and out.
Gasser = Work style jacket – zipper style
Adventure = Women’s dress jacket –zipper style
BLK
RED
NAVY
X
X
X
X
X
X
X
X
Wind Jacket - - - - - - - - - - - Satin / Flannel or Quilted - - Poplin / Flannel or Quilted - Olympian (Hooded) - - - - - - 2
HERO w / Leather - - - - - - Three Season Zip - up
Gasser
Adventure (women’s)
RYL
BLU
SLVR
RYLWHT
NAVYWHT
BLKWHT
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
TAN
X
X
X
3
Sizes: S, M, L, LT, XL, XLT, 2XL, 2XLT, 3XL, 4XL, 5XL
Sizes: S, M, L, XL, 2XL, 3XL, 4XL, 5XL
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL, 5XL
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL, 5XL
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL, 5XL, TALL
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL, 5XL, TALL
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL,
3
Sizes: S, M, L, XL, 2XL, 3XL, 4XL
3
GRN
MAR
PURP
X
X
X
X
X
X
X
X
X
1
DK
BRN
GRAY
X
X
JACKET TYPES / LOGO DESIGNS / COSTS
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These prices based on All styles Adult sizes S-XL. For larger sizes & tall, please see Add’l Charges below left.
Wind Satin or Poplin Satin or Poplin
Olympian
MSRA DESIGN OPTIONS
Jacket
Flannel
Quilted
(Hooded)
HERO 3 -SEASON
GASSER ADVENTURE
CURSIVE MSRA LETTERING* -----------------------------------------------------------------------n/a
$62.00
$68.00
$66.00
$160.00
$76.00
$90.00
$78.00
(Large ‘MSRA’ only in script on back only. *State your choice of thread color.)
5-COLOR EMBROIDERED ROADSTER* ------------------------------------------------- --------$38.00
$78.00
$84.00
$82.00
$182.00
$92.00
$96.00
$94.00
(Full embroidered MSRA Roadster logo front & back.)
(Wind Jacket is small front right chest logo only; No back logo and No Customer Name.)
*On Cursive lettering, thread color can be changed to suit your taste at no extra charge.
All styles (except Wind Jacket) include customer name embroidered on front right chest area.
3
ADDITIONAL CHARGES ON LT TO 5XL SIZES
LT
XLT 2XL 2XLT
Wind Jacket
$3.00 $3.00 $2.00 $4.00
Satin (flannel or quilted) n/a n/a $4.00 n/a
Poplin (flannel or quilted) n/a n/a $4.00 n/a
Olympian (hooded)
n/a n/a $4.00 n/a
HERO
--- $9.00** -Three Season Zipper
--$4.00** -Gasser
n/a
n/a $5.00 n/a
Adventure
n/a
n/a $4.00 n/a
3XL
4XL
5XL
TALL (add)
$4.00 $6.00
$7.00
$6.00 $7.00
$8.00
n/a
$6.00 $7.00
$8.00
n/a
$6.00 $7.00
$8.00
n/a
$12.00** $14.00** $18.00** $7.00**
$6.00** $8.00** $12.00** $10.00**
$5.00 $5.00
n/a
n/a
$7.00 $10.00
n/a
n/a
Date________________
MSRA JACKET ORDER FORM
MSRA #_________________
NAME__________________________________________________________________________________________________
ADDRESS______________________________________________________________________________________________
CITY________________________________________________STATE_________________________ZIP_________________
PHONE # (incl a/c)_________________________________ EMBROIDERED NAME__________________________________
(Name not available on Wind Jackets)
DOLLAR AMOUNTS
1
PLEASE ALLOW 4-6 WEEKS FOR DELIVERY
CHRISTMAS ORDERS MUST BE RECEIVED BY 3rd TUES. IN OCTOBER
TO ASSURE DELIVERY BEFORE DEC. 24th.
Please send this order form and a check for the full amount payable to:
********
3
SIZE____________
3
( LT & larger enter additional charge)
3
$_______________
’MSRA’
SHIPPING*******
c/o Loran & Pam Mogensen
2250 177th Lane NW
Andover, Minnesota 55304
PLEASE PRINT ALL INFORMATION TO ASSURE ACCURACY! Make checks payable to:
For more information, call MSRA Jacket Sales Volunteers
Loran or Pam at 763-753-1253.
4/2012
1
JACKET TYPE________________ MSRA DESIGN: *CURSIVE OR ROADSTER __________________ $_____ _________
*Cursive thread color __________________
2
2
2
JACKET COLOR_______________
( HERO colors additional $35 charge) $_______________
(Add $10 for HERO & $20 Canadian address - - All other jackets add $8/jacket.) $_______________
TOTAL $_______________
MSRA.
To:
All MSRA Members
From: Loran & Pam Mogensen, Volunteers
MSRA Jacket Sales
You may have noticed that our order form has changed, which is due to additional information we
have received on the jackets as well as the complexity of having so many choices (jacket styles,
jacket colors, sizes, logo design, thread colors, & shipping requirements).
Here are some helpful hints to be sure you are aware of all of the pricing and sizing structures.
You must be an MSRA member with an active MSRA # before placing an order.
All orders are placed on the 3rd Tuesday of the month.
On the form you will find 3 small raised #’s, which look like this 1 2 3 near the
‘dollar amounts’ on the order form which relate to the descriptions within the
order form; you will need to pay special attention to these as they will affect the
pricing of your order.
1
refers to your jacket type. Each has its own price depending on style and lining.
2
refers to HERO colors. If ordering a color other than basic black wool with
black sleeves, there is an additional charge, and you must allow 8 weeks for delivery.
3
refers to additional charges if ordering sizes in LT or larger.
Shipping charges are based on jacket type and if you ship to Canada.
Christmas orders must be received by 3rd Tuesday in October to assure delivery
before December 24th.
Thank you.

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