* Field must be completed in order to have gear shipped.

 

All items shipped on a "first ordered, first served" basis.

 

If there is an associated cost to this order the SCRRS Treasurer will be informed of your order and you must make arrangements for payment.

1.  General Public: send a check to SCRRS, 1286 University Ave Ste 703, San Diego, CA  92103-3312

2.  SCRRS Member:

send a check to SCRRS, 1286 University Ave Ste 703, San Diego, CA  92103-3312

                    OR

authorize deduction of cost from a reimbursement report you submit at the same time as this order form

 

* Name

 

* Item Description

Size

(if applicable)

* Quantity

 

* Unit Cost

 

* Cost
x =
x =
x =
x =
x =
             
* Subtotal Cost:  
Shipping Charge (if mailed):  

$12.00

* TOTAL COST:

  

 

* State pick up arrangement (No Shipping Charge) -- OR -- provide mailing address [street/city/state/zip] (Shipping Charge Applies)