ORDER FORM for END TO END CHEVRONS BADGE Grand

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ORDER FORM for END-TO-END CHEVRONS/BADGE Grand Valley Trails Association Name of person placing order Telephone No. ( ) and/or E-mail Send chevron(s)/badge(s) to (postal address): Apt. No. City/Town Street Prov. Postal Code GROUP ORDERS: If this is a group order (that is, for more than one person), please attach a separate sheet listing the names of all the people who completed the hike series. Beside each name please print “GVTA” if that person is a current GVTA member. In the case of group orders only one log for the group is required signed by the hike leader(s). ORDER - you may view chevrons & badge at www.gvta.on.ca/badges.html @ $05.00 1) Towpath Chevron 2) Carolinian Crest Chevron @ $05.00 3) Black Walnut Chevron @ $05.00 4) Pinnacle Chevron @ $05.00 5) Badge (non-members) @ $10.00 TOTAL enclosed ................................................. =$ =$ =$ =$ =$ =$ PAYMENT: Cheque or money order payable to Grand Valley Trails Association. No cash please. SEND ORDER FORM TO: Grand Valley Trails Association P. 0. Box 40068 Waterloo, ON N2J 4V1 CHECK LIST - include the following items with an order. This order form Cheque covering total cost List of the names of all hikers completing a section(s) or whole trail (if applicable) Log(s) > there are four logs available online; one for each of the four sections

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