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Order Form for OTSEA Bumper Snickers

Caution! Student Driver Order Below

Driver Ed. In Progess Order Below

Driver Training In Progress Order Below

Student Driver & Frantic Dad Order Below

Student Driver & Frenzied Mom Order Below

Student Driver Parent Hostage Order Below

Supervised Driver Ed Order Below

Supervised Student driver Order Below

 

Fill out th order form (below) completely. Your order may not be processed if information is missing. Your order will be submitted upon receipt of your payment.

 

When you hit SEND, You might see either or both of these, it's O.K. Choose OK if promptedChoose YES if prompted

Name
Home Address
City, State, Zip
Home Phone
Home Email
 
Any special requests? Please list below
 
Choose your Bumper Snicker(s) below. 1 for $23.95 (Includes shipping and Handling), 2 for $43.95, 3 for $61.95. Email us for custom orders!

 

Payment Options

(made payable to OTSEA) *

 

 

* Please mail your check, money order or purchase order to:

Sharon Rothacker, OTSEA Treasurer, P.O. Box 1026, Winston, Oregon 97496
 

 
Send email to bill@otsea.org with questions or comments about this web site.

For Startup Design and support, Thank you! to Oregon Coast Graphics.
Copyright © 2005 Oregon Traffic Safety Education Association - All rights reserved.