Welcome to the Mountain States Chapter of the Paralyzed Veterans of America

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Affiliated Online Stores and Services

Shop at any of these major online stores and a portion of the proceeds comes back to the MSCPVA!

Welcome to the MSCPVA's Online Store!

The Mountain States Chapter is affiliated with a number of online stores and services, as well as offers top-quality hats and t-shirts. Proceeds from purchases made online go to the Mountain States Chapter of the Paralyzed Veterans of America.

NEW! Lands' End® Embroidered Shirts!

Regular Short Sleeve or
Long Sleeve Pima

100% Cotton
Short Sleeves or Long Sleeves
White
EMBROIDERED WITH YOUR CHOICE of either the Mountain States PVA Chapter logo or the PVA logo
Available in S-M-L-XXL
Available in black, burgundy, chambray blue, classic navy, cobalt, deep purple, evergreen, gray heather, ice pink, maize, red, and white (Click here to see color swatches)
Item Number: Short Sleeve Polo 190828
Price: $25.00 each (does not include logo)
Item Number: Long Sleeve Polo 053948
Price: $30.00 each (does not include logo)

LOGO IS AN ADDITIONAL $8.10 each

Original Oxford Sport

60% Cotton / 40% Polyester Blend
Long sleeves
Blue
Embroidered Mountain States PVA Chapter logo
Available in M-XXL
Item Number 071277
$19.50 each (does not include logo)

LOGO IS AN ADDITIONAL $8.10 each

Men's Microfiber Golf Jacket

Zip-and-go Golf Jacket plays beyond the greens
Easy-care fabric
Stand up collar keeps wind off your neck
On-seam front zip pockets
Back-elastic sleeves and bottom for comfortable fit
Not available in women's sizes
Embroidered PVA logo
Available in 2XL-3XL
Item Number 19516-3NT3
$59.50 each (includes logo)

Shipping charges will apply.

To order your embroidered Lands' End Shirts or Microfiber Jackets, please fill out the form below.
The Chapter office will be in contact with you regarding the specifics of your order,
your method of payment and shipping of your order.

First Name

Last Name

Company (if applicable)

E-mail Address

Street or P.O. Box

City/State/Zip

Telephone Number

Fax Number (if applicable)

Order Information

Yes, I want to order a Regular SHORT Sleeve Pima!
Yes, I want to order a Regular LONG Sleeve Pima!
Yes, I want to order a Men's Microfiber Golf Jacket!

Quantity of shirts:

Enter number of shirts desired above size and in color desired.
Small	Medium	Large	XL	XXL

Colors of shirts:

Black	Desert Khaki	Chambray Blue	Classic Navy
Cobalt	Deep Purple	Evergreen	Gray Heather
Ice Pink	Maize	Red	White

Quantity of jackets:

Enter number of jackets desired above size and in color desired.
2XL	3XL

Colors of jackets:

Black

Burgundy

True Navy

Aegean Green

Embroidered Logo: (choose one)

MSCPVA Chapter Logo

PVA Logo

Yes, I want to order the Original Oxford Sport!

Quantity:

Enter number of shirts desired above size.
Small	Medium	Large	XL	XXL

Please indicate the best time to contact you about your order, as well as details in the space provided below.

All purchases benefit the Mountain States Chapter.
Choose your selection and simply fill out the online form below, and click "Continue My Transaction". If you need to modify quantities, do so in the appropriate fields and click "Update Order" to correct the amount that will be charged to your credit card. Should you have questions, please contact the Chapter Office via telephone (303-597-0038) or email: info@mscpva.org

Mountain States Chapter Paralyzed Veterans of America Other Items Order Form

Mountain States Chapter
Baseball Caps

Black, washable 100% cotton polyester blend.
Embroidered Mountain States Chapter PVA logo on front.
One size fits all.

$15.00 each includes shipping & handling
		Quantity
	MSCPVA Baseball Cap

Hero's Pride
"Fallen Heros" Embroidered Emblem

Available in Large (11" x 11") and Small (4" x 4")

Price includes shipping & handling
		Quantity
	Large Emblem @ $20.00 each
	Small Emblem @ $10.00 each

Still Available for Purchase Online!
50th Anniversary Gala Video!

$10.00 each includes shipping & handling
Please check the box below to order a video and enter in the number of videos you wish to purchase:		Quantity
	Yes, I want to order a 50th Anniversary Gala Video!

Billing Information

First Name:
Last Name:
Address:
City:
State:	Zip:
Phone:	Please include area code
Email Address:

TOTAL AMOUNT TO BE CHARGED TO YOUR CREDIT CARD: $

ONCE YOU HAVE COMPLETED YOUR ONLINE TRANSACTION,
PLEASE CALL THE CHAPTER OFFICE AT 800-833-9400 or 303-5987-0038 TO VERIFY YOUR PURCHASES.

Merchant Services

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12200 East Iliff Avenue, Suite 107 • Aurora, CO 80014 • 303-597-0038 • 1-800-833-9400 • Fax: 303-597-0039	Paralyzed Veterans of America Chartered by the Congress of the United States
© 2008 Mountain States Chapter, Paralyzed Veterans of America. All rights reserved. Site managed by Primary Digital