Shop NSR Order Form

NSR STORE ORDER FORM
Please print this form, fill it out, include the appropriate fees, and mail to: NSR, PO Box 2417, West Lafayette, IN 47996-2417.
Please put quantity desired by the correct product number and list color preference if applicable.

NSR Pullover Vests: $20 x ____(A)
95A__ 95B__

NSR Fleece Jackets: $40 x ____(B)
100A__ 100B__ 100C__ 100D__

NSR Lined Windshirts: $30 x ____(C)
200A_______________ (indicate your color preference)

Caps: Price listed x _____= (D)

NSR Caps: 59A__ 59B __ 59C__ 59D__ 59E__ 59F__ 59G__ 59H__ 59I__ 59J__

Duroc Caps: 57A__ 57B__

Hampshire Caps: 61A__ 61B__ 61C__ 61D__61E__ 61F__

Landrace Caps: 85A__   85B__   85C__ 85D__ 85E__ 85F__ 85G__ 85H__

Yorkshire Caps: 76A__ 76B__ 76C__ 76D__ 76E__ 76F__ 76G__ 76H__ 76I__ 76J__

Summer Caps: 1000A__   1000B__

Herd Registry for Post Binder: $4 x   ___________ = (E)
Herd Pocket Book: $2.50 x   ___________ = (F)
Breed Pens: D H L Y (circle breed) $5 x   ___________ = (G)
NSR Envelopes (100 ct.): $18 x   ___________ = (H)
Application Book: $10 x ____________ = (I)
FTA Blotter Card: $4 x_______=(J)
Returning FTA Blotter Card Storage Fee: $6 x ______=(K)
NSR Swine Judging DVD: $35 x ______=(L)
NSR 4-Ring Pedigree Binder: $10 x ________=(M)
Seedstock Edge Bound Issues: $25 x________=(N) Year _______

NJSA STORE

NJSA Windshirts: $35 x _______ = (O)
Please list a size and color you would like and a 2nd choice in case your 1st choice has sold out.
Size (please indicate Youth or Adult): _______________
Color:____________
2nd choice Color:_______________

Caps:$15 x   ___________ = (P)
46A___ 46B___ 46C___ 46D___46E___
Ohio State University Swine Resource Manual: $15 x __________ = (Q)
NJSA Skillathon Practice CD: $10 x ________ = (R)
2007 NJSS DVD: $20 x ________ = (S)

SUBTOTALS:
A________
B________
C________
D________
E________
F________
G________
H________
I________
J________
K________
L________
M________
N________
O________
P________
Q________
R________
S________

TOTAL : $__________
SHIPPING: $5
TOTAL INCLUDED: $__________

Name __________________________________________

Address_________________________________________

City ______________ State _________ Zip Code _______

Credit Card (please circle): Visa Mastercard Discover
Credit Card No.:________________________________
Exp. Date ____________
Three-digit security code (on back of card) ____________

Please make checks out to the National Swine Registry (NSR).

Thanks for your order!