Print and complete this form to order by mail
Order Form for Medals
CSNA 129th Convention Medal:
Route 66 — America's Highway
Set: Golden-bronze, 1oz .999 Silver, Antiqued-bronze
Item: Cost X Quantity = Total
3-piece Set: $ 48– X _____ = $_________
* Postage * $________*
VERY LIMITED SUPPLY! Total Order
$_________
- Make payment to: C.S.N.A.
- Mail this form with your payment:
Joyce Kuntz, CSNA Medals Coordinator
697 Scripps Drive
Claremont, CA 91711-2640
- Questions on medals? (909) 621-2196
* Postage = $1.95
per set
