Pennsylvania
Amateur Softball association

 

                                                                                               

Softball Order Form
 

Complete the form below, Print this page and submit it by mailing to the address below with your payment. 

 Your order will be processed by the ASA of PA state office upon receiving this form and your payment.    We may contact you by mail, phone or Internet email for further details.

Thank you for choosing the ASA!

Use the TAB key or your mouse to go to the next data area. Use the scroll bar to scroll down the form.

Shipping Information;
  Your First Name: *
  Your Last Name: *
  Street Address 1: *
  Street Address 2:
  City: *
  State: *
  Zip code: *
  Telephone: *
  County of residence:
  Your Email Address: *

Order;
Type of Ball: *
Quantity in Dozens *
 Cost  *
(# dozens x cost)
$2.00/Dozen Shipping  *
 (# dozens x $2.00)
Add 6% sales tax
(cost + shipping X .06)
Total Cost   *
Send this amount
 

Mail Check or Money Order to:      

ASA of PA Hall of Fame
311 Race Street
Sunbury, PA 17801

Payable to: ASA of PA
**Orders can not be processed with out receiving payment.

 If needed, please include any additional comments or questions here:

                                                                                       

This information collected in this form is for the sole purposes of the above. No names or other personal information will be disclosed without explicit permission.