Use this form to order your AR

Use this form to order your AR/NASW merchandise. These items make great gifts for yourself or great gifts for Social Work Month for your co-workers or graduation gifts for students. Fill out the form below and mail the form and check or money order (payable to AR/NASW) to: AR/NASW 1123 S. University Suite 1010, Little Rock, AR 72204.

Cost Quantity/Size/ Total

“Stand Up For Others” Bracelet (Teal) $ 2.00 each __________ _______

Buttons

I Am A Social Worker $ 2.00 each __________ ________

Social Work Month $ 2.00 each __________ ________

Lanyard (Blue only) $ 4.00 each __________ ________

Mugs

Original Magic Mug $10.00 each _________ ________

(Specify Black or White)

Travel Mug (Blue only) $ 7.50 each __________ ________

Note Pads $ 1.00 each __________ ________

Posters (I Am A Social Worker)

8 x 10 $ 2.00 each __________ ________

24 x 36 $10.00 each __________ ________

Sports Bottle (Blue only) $ 4.50 each _________ ________

Tote Bags

I Am A Social Worker

(Red/Black) $12.50 each __________ _______

Do You Know Me?

(Blue/Black) $12.50 each _________ _______

T-Shirts*

I Am A Social Worker $15.00 each ________ _______

Do You Know Me? $15.00 each ________ _______

* Sizes: Medium, Large, Extra Large, 2X Large, 3X Large, 4X Large

Order Total Shipping & Handling Total Merchandise___________

Up to $30 $ 6.95 S & H

$30.01 - $ 60.00 $ 7.95 (see details at left)___________

$60-01 - $ 90.00 $ 9.95

$90.01 - $120.00 $11.95 Total Amount Due____________

Over $120 contact AR/NASW for quote

(501) 663-0658

Ship to:_____________________________________________

Address:____________________________________________

City_________________________State______Zip__________

FOR OFFICE USE:

Order Received: ____________________________ Mailed:________________________