Order form for CVF specialty items

Canadian Volkssport Federation
La Fédération Canadienne Volkssport
P.O. Box 2668, Station ‘D’, Ottawa, ON K1P 5W7
C.P. 2668, Succursale ‘D’, Ottawa, ON K1P 5W7
ORDER FORM FOR CVF SPECIALTY ITEMS
BON DE COMMANDE POUR LES ARTICLES SPÉCIALSÉS FCV
ITEM NAMES / DESCRIPTION
NOM DE L'ARTICLE / DECRTIPTION
CVF Cloth Patch / Écusson en tissu FCV
CVF Lapel Pin / Épinglette à revers FCV
CVF Header Bar (only) / Barre de support FCV
(seulement)
CVF Header Bar with Canada
Barre de support avec Canada
Country / State Bars (over) / Barres de pays / états
(voir verso)
Provincial Bars / Barre de provinces canadiennes
IVV Replacement Awards (pin / patch)
Insignes de mérite de remplacement (épinglettes /
écussons)
IVV Banner for loan
IVV Record Books (please specify – over)
Carnets de validation IVV (préciser au verso)
Souvenir booklet / Livre de souvenirs
IVV Plastic record book covers (remaining stock)
Couverture en plastique pour carnets IVV (matériel
restant)
Trail markers – Arrow cards (specify colour) – each
Jalons à sentiers – Flèches (préciser couleur) – chaque
Start Cards / Cartes de départ (specify /prèciser) each / chaque
Price /
Prix
2.50
2.50
3.00
Quantity /
Quantité
TOTAL
5.00
3.00
3.00
3.50
7.00
1.00
1.00
0.12
0.05
TOTAL:
(Revised 2015)
Price is subject to change / le prix est sujet à modification sans préavis.
Postage and handling on all merchandise EXCEPT Record Books.
Frais de poste et de manutention sur toutes les merchandises à l'exception des carnets de validation.
Please send cheque or money order to the above address.
Veuillez envoyer votre cheque / mandat – poste à l'adresse ci-dessus.
Club Name / Nom du Club _______________________________________
Address / Adresse ______________________________________________
Date __________
__________________________________________
Signature of Official / Signature du responsable
PROVINCIAL BARS / BARRES PROVINCIALES
Alberta ……………………………………………...
British Columbia / Colombie-Britannique …………
Canada ……………………………………………..
Manitoba …………………………………………...
New Brunswick / Nouveau-Brunswick …................
Saskatchewan ………………………………………
Newfoundland / Terre-Neuve ……………………...
Nova Scotia / Nouvelle- Écosse ………....................
Nunavut ………………………………….................
Prince Edward Island / Île-du-Prince-Edouard …….
Ontario ……………………………………………...
Québec ……………………………………………...
Northwest Territories / Territoire du Nord-Ouest…..
Yukon ………………………………………………
COUNTRY BARS / BARRES DE PAYS (Current stock only / matériel en main seulement)
Austria / Autriche ………………………………….
Belguim / Belgique ………………………………...
Denmark / Danemark ………………………………
France ………………………………………………
Germany / Allemagne ……………………………...
Great Britain / Grande-Bretagne …………………...
Ireland / Irelande …………………………………...
Scotland / Écosse …………………………………..
Italy / Italie …………………………………………
Liechtenstein …………………………….................
Luxembourg ………………………………………..
Netherlands / Pays-Bas ………………….................
Norway / Norvège ……………………….................
Sweden / Suède ………………………….................
Switzerland / Suisse ………………………………..
USA / États-Unis …………………………………...
STATE BARS / BARRES DE ÉTATS (Current stock only / matériel en main seulement)
Alabama ………………………...
Alaska …sold out
Arizona …………………............
Arkansas ………………………..
California ……………………….
Colorado ………………………..
Connecticut ……………………..
Delaware ………………………..
Florida …………………………..
Georgia …………………............
Hawaii …………………………..
Idaho ……………………............
Illinois …………………………..
Indiana ………………………….
Iowa …………………………….
Kansas …………………………..
Kentucky ………………………..
Louisiana ……………………….
Maine …………………………..
Maryland ……………………….
Massachusetts ………………….
Michigan ……………………….
Minnesota ………………...........
Mississippi ....sold out
Missouri ……sold out
Montana ………………………..
Nebraska ……………………….
Nevada ………sold out
New Hampshire ………………..
New Jersey ……………………..
New Mexico ……………...........
New York ………………...........
North Carolina …………………
North Dakota …………………..
Ohio ……………………………
Oklahoma ………………...........
Oregon ………………………….
Pennsylvania ……………............
Puerto Rico ……………………..
Rhode Island ……………............
South Carolina ………………….
South Dakota …………………...
Tennessee ………………............
Texas ……………………...........
Utah ………sold out
Vermont ………………………...
Virginia …………………............
Virgin Islands …………………..
Washington ……………………..
Washington, DC ………………..
West Virginia …………………...
Wisconsin ………………............
Wyoming ……………………….
IVV RECORD BOOKS / CARNETS DE
VALIDATION IVV
Bicycle KM ………………………………………...
Events / Participation
Green (Eng. 10, 30, 50) …………………………….
Rose (Fr. 10, 30, 50) ……………………………….
Purple (Eng. 75 – 600) ……………………………..
Mauve (Fr. 75 – 600) ………………………………
Salmon / Saumon (600 – 1500) ……………………
Red / Rouge (1500+) ………………………………
Distance / Kilométrage
Blue (Eng. 500 – 8000) …………………………….
Orange (Fr. 500 – 8000) ……………………………
Beige (Eng. 8000 – 21,000) ………………………..
Brun (Fr. 8000 – 21,000) …………………………..
Yellow / Jaune (22,000 +) ………………………….
MISCELANEOUS / DIVERS
Trail Markers / Jalons à Sentiers (Arrows / Flèches)
Red / Rouge ……………………………………….
Blue / Bleu ………………………………………..
Yellow / Jaune …………………………………….
Start Cards / Carts De Départ
White / Blanc (Bilingual / Bilinque) ……………….
Blue / Bleu ………………………………………….
Pink / Rose …………………………………………