Ways and Means Order Form

Item No. Ordered Price each Extended Price
T-SHIRTS Please indicate how many you would like with each logo (“Licensed to Care” or “Nurses Making a Difference, LPN”) and in what size (L, XL, XXL, XXXL) $12.00
NOTE CARDS (8 blank cards) $5.50
MoSALPN PINS $6.50
MoSALPN STUDENT PINS $6.50
Book Celebrating 60 Years of Practical Nursing $5.00
MOSALPN tote bag $10.00
Navy blue tote bag $12.00
Total Amount Due:

(note: all prices include shipping)

Ship to:

Name

Address

City, State, ZIP Additional comments or instructions

To order: print this page and mail with payment to:

MoSALPN
PO Box 105542
Jefferson City, MO 65110