2016 Baldrige Winter Order Form/Price List
TO ORDER: Mail, fax, call, or email Varge International. Baldrige Program staff will not be collecting order forms. Items are being custom made, so please
allow up to three weeks for processing and delivery.
Varge’ International, LTD Sold To:______________________________________ Ship to: (Fill out if only different than sold to)
11122 Lees Mill Road ______________________________________ ______________________________________
Remington, VA 22734 ______________________________________ ______________________________________
540-439-8696 office ______________________________________ ______________________________________
540-439-8684 fax Phone: ______________________________________ ______________________________________
Email: vargeint@aol.com Email: ______________________________________
Quantity Item No Description Price Each Total
________ 01 Ceramic Mug $ 7.50 ______________
________ 02 Imperial Leather Padfolio $29.00 ______________
________ 03 Field & Computer Messenger Bag $38.00_ ______________
________ 04 Life in Motion, Primary Computer Portfolio $38.00 ______________
________ 05 Baseball Cap White/Navy $13.00 ______________
________ 06 Baseball Cap Navy/Stone $15.00 ______________
________ 07 EV Run Golf Shirt, Womens (qty) __ S ___ M ___ L __ XL $27.00 ______________
________ 08 EV Run Golf Shirt, Mens (qty) __ S ___ M ___ L __ XL $27.00 ______________
________ 09 Womens Cotton Polo circle one DkBlue White (qty) __ S ___ M ___ L ___ XL $25.00 ______________
________ 10 Mens Cotton Polo circle one DkBlue White (qty) __ S ___ M ___ L ___ XL $25.00 ______________
________ 11 Hooded Sweatshirt unisex DkBlue (qty) ___ S ___ M ___ L ___ XL $40.00 ______________
________ 12 Womens Oxford Shirt circle one DkBlue LtBlue (qty) __ S ___ M ___ L ___ XL $38.00 ______________
________ 13 Mens Oxford Shirt circle one DkBlue LtBlue (qty) __ S ___ M ___ L ___ XL $38.00 ______________
________ 14 Eversole Womens Full Zip Outer Shell Jacket (qty) __ S ___ M ___ L ___ XL $48.00 ______________
________ 15 Howard Miller Weatherton Clock $47.00 ______________
Sub-Total: ___________________
Shipping: ___________________
(Amt. from chart)
(VA Resident) Sales Tax ___________________
Please Charge My: (
) Visa ( ) Mastercard ORDER TOTAL ___________________
___________________________________ _________________
Card Number Security Code ( back)
___________________________________ _____________ ___________
Cardholder’s name Exp.Date Zip Code
FLAT RATE SHIPPING CHARGES:
Under $50.00 - $8.00 / $50.00 to $100.00 - $15.00
$100.00 to $299.00 - $25.00 / $300.00 and up $35.00
Sizes above XL add upcharge of
$5.00 more per item.