WORLD TANG SOO DO ASSOCIATION
STUDENT ORDER FORM
709 Oregon Avenue
Philadelphia, PA 19148
215-468-2121
Fax: 215-336-2121
Email: WTSDA@aol.com

Sold to:
Ship to:
 
 
Date:
Phone:
Rank:
Assoc. #:

WTSDA Use Only

SHIPPING DATE: ___________________
SHIPPED VIA: ___________________
NO. OF PACKAGES: ___________________
   
Item Quant. Price Total
Bumper Sticker $1.50
Cane $10.00
Dan DoBohk Size $55.00
Dan DoBohk Size
With Embroidered belt
Name: 		$75.00
Dan Gum $50.00
Grandmaster Poster $5.00
Gym Bag $20.00
Hat: Red Blue $10.00
Headband $3.00
License Plates: Plastic Metal $3.00
$13.00
Mug $6.00
Pen $6.00
Terminology Tape $6.00
Tie $25.00
Trim kit: green brown red $6.00
T Shirts:
Adult: S M L XL XXL		   $12.00
Sweatshirts:
Adult: S M L XL XXL
Child: S M		   $16.00
Ring 10 kt. Gold Size
$200.00
Ring 14 kt. Gold Size
$250.00
Ring Sterling Silver Size
$75.00
Medallions: 1-1/2" Silver
1-1/2" 10kt Gold
1-1/2" 14kt Gold
5/8" Silver
5/8" 10 kt Gold
5/8" 14 kt Gold
$65.00
$175.00
$220.00
$50.00
$100.00
$125.00
Shipping charges (minimum $5.00, orders over $50.00 add 5%; jewelry orders shipped 2nd day air, charges are $12.00)
Total**

*This form can be filled out online, and then printed, or you can just print out the form and fill it in by hand. Send the completed oderform along with a check or money order to the address above.