Vintage Minnesota Hockey Fax Orders

Mail Order

Mail your order to:

Vintage Minnesota Hockey

P.O. Box 1566

Monticello, MN. 55362

ITEM DESCRIPTION_________________________________

TEAM __________________Home___ Away___3rd / Alt____

Size M_____L_____XL_____XXL_____Other_____________

If Custom Name and Number __________________________

Item Price$________Ship ground_______2nd Day_______

Next Day________Total Price$________

Comments ________________________________________

Billing Information

Name ______________________________

Street ______________________________

City __________________State ________ ZIP_________

Phone __________________E-mail _____________________

Visa ____MC____Amex____Discover___Check/Money Order____

Card Number_________________________________ Exp._______

Shipping Address (If different from above)

Name ____________________________

Street ____________________________

City ________________State___________Zip__________