AUSTIN HEALEY CLUB OF SAN DIEGO
REGALIA ORDER FORM
Name:
__________________________________________________

Address:
__________________________________________________

__________________________________________________
Phone:
__________________________________________________
E-Mail:
__________________________________________________
A.H.C.S.D. Logo printed on Crew Neck Tee Shirt, 100% cotton
$10 each, or 2 for $15
Short Sleeves, Logo on Front: Red      __XL  
White  __M      __XXL
Black    __L  __XL  
Navy    __L    
Gray    __L    
Natural    __L    
Short Sleeves w/Pocket, Logo on Back: White    __L    
Long Sleeves, Logo on Front: Red    __L  __XL  
White  __M  __L  __XL  
Navy  __M    __XL  

Total Tee Shirts: ____ @ $10 ea. or 2 for $15 = $______

A.H.C.S.D. Logo printed on Sweat Shirt
$20 each
   __X  __XL  

Total AHCSD Logo Sweat Shirts: ____ @ $20 each = $______

Original AHCSD Script Logo embroidered on Polo Shirt, 100% cotton
$34 each
Men's: Green  __M    __L  
Gray      __L  
Blue  __M  __L    __XXL

Total AHCSD Script Logo Polo Shirts: ____ @ $34 each = $______

AUSTIN HEALEY Wings embroidered on Polo-Shirt, 100% cotton
$10 each, or 2 for $15
Men's: White w/ Black Stitching  __M      
White w/ Red Stitching    __L    
Women's: Black  __M  __L    
Gray  __M  __L    
White w/ Blue & White Collar    __L    
Red  __M      

Total AH Wings Polo Shirts: ____ @ $10 ea. or 2 for $15 = $______

A.H.C.S.D. Logo Stickers  __ @ $1 ea. or 6 for $5 = $__________
A.H.C.S.D. Logo Lapel Pin  __ @ $4 each = $__________
A.H.C.S.D. Logo Key Fob  __ @ $5 each = $__________
A.H.C.S.D. Logo Car Badge
 __ @ $25 (members) or $30 (non-members) each = $__________
Old AHCSD Logo Embroidered Patches  __ @ $5 each = $__________
AH Wings Embroidered Ball Caps  __ @ $15 each = $__________
We also have some leftover items from our FIESTA DE LOS HEALEYS
(1999 West Coast Meet / California Healey Week)
T-shirts, sweatshirts, dash plaques, embroidered patches etc.
Please call for details: Jan Schmidt @ (858) 453-3864

Regalia Subtotal: $__________
You can arrange to pick-up your order from Jan, or add 10% for shipping if your order is over $10

+ Shipping (10%): $__________

= Total Enclosed: $__________


Please send in your order form today,
with your check payable to "Austin Healey Club of San Diego", to

A.H.C.S.D.
ATTN: REGALIA
PO BOX 17101
SAN DIEGO, CA 92177-7101