321 5271 2012 Supplemental Order Form

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					                             NASP Equipment - Supplemental Order Form
               Brennan Industries, Inc. - The Official Equipment Distributor for the National Archery in the Schools Program
Brennan Industries                                Prices effective:                                            Phone: (608) 269-0832
2035 Riley Road                              January 1 - December 31, 2012                                     Fax: (608) 269-0172
Sparta, WI 54656                                                                    email: customerservice@genesisbow.com
                                                                                                www.archeryintheschools.org
Customer #:
Organization:                                                Bill-To Address:
Contact Name:                                                (If different)
Ship-To Address:                                             City State Zip:
(NO PO Box)                                                  Phone:
City State Zip:                                              Fax:
                Commercial                 Residential       E-mail:

              Evidence of Non-Profit Status:                  Copy of 501c3                 Copy of Sales Tax Exemption

Payment accepted by Check, MasterCard, Visa, or Purchase Order:
                                                           VISA / MasterCard:
PO Number:                                                  Name:
*PO Number is REQUIRED if order is not prepaid.            Card #:
                                                           Expires:                         3-Digit Code
                                                                    Retain CC# for future orders?     Yes                            No

             Number                         Item                              Qty             (Includes Shipping)     Price
        Mini 11413        Mini Right Hand Red                                          Ea       $111/bow
     Genesis 11415        Mini Right Hand Blue                                         Ea       $111/bow
      Bows: 11417         Mini Right Hand Black                                        Ea       $111/bow
              11414       Mini Left Hand Red                                           Ea       $111/bow
              11416       Mini Left Hand Blue                                          Ea       $111/bow
              11418       Mini Left Hand Black                                         Ea       $111/bow
     Genesis 10492A Genesis Pro Right Hand Black                                       Ea       $131/bow                       ***
         Pro 10496A Genesis Pro Right Hand Black/Red                                   Ea       $131/bow                       ***
      Bows: 10491A Genesis Pro Left Hand Black                                         Ea       $131/bow                       ***
             10497A Genesis Pro Left Hand Black/Red                                    Ea       $131/bow                       ***
Replacement BG20014 Right Hand Arrow Rest (Not Pro)                                    Ea         $8/each
      Parts: BG20015 Left Hand Arrow Rest (Not Pro)                                    Ea         $8/each
             BG11498 String (Original or Pro) Black & White                            Ea        $17/each
             BG10897 String (Original or Pro) Black & Red                              Ea        $17/each
             BG11490 String Mini (Black and White)                                     Ea        $17/each
             BG11491 String Mini (Black and Red)                                       Ea        $17/each
             BG11497 Power Cable Genesis & Pro (Black)                                 Ea        $10/each
             BG11492 Power Cable Mini (Black)                                          Ea        $10/each
              50138 Cable Rod Slide                                                    Ea         $1/each
                     ** All prices include shipping to a commercial
                               address in the lower 48 States                                              Total


          *** Please note - Genesis Pro does NOT include a rest. You will have to purchase a rest separately ***
                 from another source. Minis and Pros are not eligible for NASP tournament competition.

      *** BY SUBMITTING THIS ORDER TO BRENNAN INDUSTRIES, INC. YOU AGREE THAT NO ITEMS WILL BE RESOLD
                                 NASP Equipment - Supplemental Order Form
                   Brennan Industries, Inc. - The Official Equipment Distributor for the National Archery in the Schools Program
Brennan Industries                                         Prices effective:                                         Phone: (608) 269-0832
2035 Riley Road                                January 1 - December 31, 2012                                         Fax: (608) 269-0172
Sparta, WI 54656                                                                           email: customerservice@genesisbow.com
                                                                                                       www.archeryintheschools.org
Customer #:
Organization:                                                           Bill-To Address:
Contact Name:                                                          (If different)
Ship-To Address:                                                        City State Zip:
  (NO PO Box)                                                           Phone:
City State Zip:                                                         Fax:
                   Commercial                Residential                E-mail:

                   Evidence of Non-Profit Status:                      Copy of 501c3                           Copy of Sales Tax Exemption

Payment accepted by Check, MasterCard, Visa, or Purchase Order:
                                                                                     VISA / MasterCard:
PO Number:                                                                              Name:
*PO Number is REQUIRED if order is not prepaid.                                         Card #:
                                                                                       Expires:                     3-Digit Code
                                                                                                Retain CC# for future orders?    Yes               No

                    Number                         Item                                  Qty                 (Includes Shipping)   Price
           Mini      11413     Mini Right Hand Red                                                    Ea        $111/bow               .00
        Genesis      11415     Mini Right Hand Blue                                                   Ea        $111/bow               .00
         Bows:       11417     Mini Right Hand Black                                                  Ea        $111/bow               .00
                     11414     Mini Left Hand Red                                                     Ea        $111/bow               .00
                     11416     Mini Left Hand Blue                                                    Ea        $111/bow               .00
                     11418     Mini Left Hand Black                                                   Ea        $111/bow               .00

        Genesis     10492A     Genesis Pro Right Hand Black                                           Ea        $131/bow               .00   ***
            Pro     10496A     Genesis Pro Right Hand Black/Red                                       Ea        $131/bow               .00   ***
         Bows:      10491A     Genesis Pro Left Hand Black                                            Ea        $131/bow               .00   ***
                    10497A     Genesis Pro Left Hand Black/Red                                        Ea        $131/bow               .00   ***

   Replacement BG20014 Right Hand Arrow Rest (Not Pro)                                                Ea        $8/each                .00
         Parts: BG20015 Left Hand Arrow Rest (Not Pro)                                                Ea        $8/each                .00
                BG11498 String (Original or Pro) Black & White                                        Ea        $17/each               .00
                BG10897 String (Original or Pro) Black & Red                                          Ea        $17/each               .00
                BG11490 String Mini (Black and White)                                                 Ea        $17/each               .00
                BG11491 String Mini (Black and Red)                                                   Ea        $17/each               .00
                BG11497 Power Cable Genesis & Pro (Black)                                             Ea        $10/each               .00
                BG11492 Power Cable Mini (Black)                                                      Ea        $10/each               .00
                 50138 Cable Rod Slide                                                                Ea        $1/each                .00

                                ** All prices include shipping to a commercial
                                          address in the lower 48 States                                              Total            .00


              *** Please note - Genesis Pro does NOT include a rest. You will have to purchase a rest separately ***
                      from another source. Minis and Pros are not eligible for NASP tournament competition.


         *** BY SUBMITTING THIS ORDER TO BRENNAN INDUSTRIES, INC. YOU AGREE THAT NO ITEMS WILL BE RESOLD

				
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