StarCourse CO-OP Program

Team Name *

Director's Email *

Non-Profit Display

Non-Profit Display Items (Click Items Requested)

American Flag Tent (Cost $99.99)

myNeighborhood CO-OP 5x3 Table Banner (Cost $29.99)

5 Foot Folding Table (cost $37.00)

Bar-Stool (Cost $18.27)

Wheel of Fortune (Cost $75.00)

Spinner Sign (Cost $40)

Charter Display

Charter Display Items (Click Items Requested)

American Flag Tent (Cost $99.99)

Charter 5x3 Table Banner (Cost $25.00)

5 Foot Folding Table (cost $37.00)

Bar-Stool (Cost $18.27)

Wheel of Fortune (Cost $75.00)

Individual Items

myNeighborhood CO-OP

myNeighborhood CO-OP Orange T-Shirt

	Men's Large ($7.00 Each)
	Men's Extra Large ($7.00 Each)
	Men's XXL ($7.00 Each)
	Women's Large ($7.00 Each)
	Women's Medium ($7.00 Each)

Personal Refrigerator Magnets

Number of Magnets Ordered ($1.00 Each)

Name:

Phone:

$25 Restaurant Gift Certificate Redemption

500 Certificate Cards (500 for $35.00)

100 Yard Signs with Stakes

100 Yard Promo Signs ($210 for 100)

Charter Spectrum Items

Authorized Charter Dealer Business Cards

500 Personal Business Cards (cost $41.50)

First and Last Name:

Title:

Phone Number:

Fax Number:

eMail Address:

Street Address:

City, State, Zip:

Domain Name:

Brochures

Charter Triple Play Brochure w/Channels

	Legacy Charter 500 pieces for $0.50
	TWC&BH Charter 500 pieces for $0.50

First Last Name:

Charter Apparell

Spectrum Authorized Retailer 6 panel Baseball Cap

Number of Hats ($12.35 each)

Spectrum Authorized Retailer 100% Cotton T-Shirt

	Men's Small ($7.90 Each)
	Men's Medium ($7.90 Each)
	Men's Large ($7.90 Each)
	Men's XL ($7.90 Each)
	Men's 2XL ($7.90 Each)
	Men's 3XL ($7.90 Each)
	Men's 4XL ($7.90 Each)
	Men's 5XL ($7.90 Each)
	Women's Small ($7.90 Each)
	Women's Medium ($7.90 Each)
	Women's Large ($7.90 Each)
	Women's XL ($7.90 Each)
	Women's 2XL ($7.90 Each)
	Women's 3 XL ($7.90 Each)

Spectrum Authorized Retailer Polo Shirt

	Men's Small ($21.00 Each)
	Men's Medium ($21.00 Each)
	Men's Large ($21.00 Each)
	Men's XL ($21.00 Each)
	Men's 2XL ($21.00 Each)
	Men's 3XL ($21.00 Each)
	Men's 4XL ($21.00 Each)
	Women's X-Small ($29.00 Each)
	Women's Small ($29.00 Each)
	Women's Medium ($29.00 Each)
	Women's Large ($29.00 Each)
	Women's XL ($29.00 Each)
	Women's 2XL ($29.00 Each)
	Women's 3 XL ($29.00 Each)

Spectrum Authorized Retailer Long Sleeve Shirt

	Men's X-Small ($27.00 Each)
	Men's Small ($27.00 Each)
	Men's Medium ($27.00 Each)
	Men's Large ($27.00 Each)
	Men's XL ($27.00 Each)
	Men's 2XL ($27.00 Each)
	Men's 3XL ($27.00 Each)
	Men's 4XL ($27.00 Each)
	Men's 5XL ($27.00 Each)
	Men's 6XL ($27.00 Each)
	Men's 7XL ($27.00 Each)
	Men's 8XL ($27.00 Each)
	Men's 9XL ($27.00 Each)
	Men's 10XL ($27.00 Each)
	Women's X-Small ($27.00 Each)
	Women's Small ($27.00 Each)
	Women's Medium ($27.00 Each)
	Women's Large ($27.00 Each)
	Women's XL ($27.00 Each)
	Women's 2XL ($27.00 Each)
	Women's 3 XL ($27.00 Each)
	Women's 4 XL ($27.00 Each)
	Women's 5 XL ($27.00 Each)
	Women's 6 XL ($27.00 Each)

Ameritect Authorized Dealer Blue Polo Shirt

	Men's Small ($49.99 Each)
	Men's Medium ($49.99 Each)
	Men's Large ($49.99 Each)
	Men's XL ($49.99 Each)
	Men's 2XL ($49.99 Each)
	Men's 3XL ($49.99 Each)
	Men's 4XL ($49.99 Each)
	Men's 5XL ($49.99 Each)
	Women's Small ($49.99 Each)
	Women's Medium ($49.99 Each)
	Women's Large ($49.99 Each)
	Women's XL ($49.99 Each)
	Women's 2XL ($49.99 Each)
	Women's 3 XL ($49.99 Each)

Ameritect Authorized Dealer White Polo Shirt

	Men's Small ($49.99 Each)
	Men's Medium ($49.99 Each)
	Men's Large ($49.99 Each)
	Men's XL ($49.99 Each)
	Men's 2XL ($49.99 Each)
	Men's 3XL ($49.99 Each)
	Men's 4XL ($49.99 Each)
	Men's 5XL ($49.99 Each)
	Women's Small ($49.99 Each)
	Women's Medium ($49.99 Each)
	Women's Large ($49.99 Each)
	Women's XL ($49.99 Each)
	Women's 2XL ($49.99 Each)
	Women's 3 XL ($49.99 Each)

Send Products to:

First Name: *

Last Name: *

Address line 1: *

Address Line 2: (Apt, Lot, etc)

City: *

State: *

Zip Code: *

Phone Number: *

eMail Address: *

Current Total:

$0.00

I understand that the following Items Purchased will be taken out of my Account in 4 Payments on a weekly basis. Purchase must me approved by company. *

YES

NO