"Cool Downs"
Neck Coolers
Reservation Form
Woodstock Chapter #193 is not able to process payments via the website at this time.  By completing the information below, your
"Cool Downs" will be reserved and will ship immediately upon receipt of payment.   
(Reservation confirmation and shipping notice will be sent via email.)

Please complete the requested information below and mail payment to:

"Cool Downs"
c/o 40353 N Bluff Lake Rd
Antioch, IL  60002

(Note:  Check or money order should be made payable to CHAPTER 193.)
No. 1
No. 2
No. 3
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No. 5
No. 6
No. 7
Total "Cool Downs"
Reserved:
x $6.50 ea.
Total Payment of:
=
TO RESERVE YOUR "COOL DOWNS"
FILL OUT THE FORM BELOW AND SUBMIT
Your name:
Street address:
City/State/Zip:
Phone No:
Email Address:
Click to return woodstock #193