Personal Collection Items

Champions Park commemorating the 1923 World Heavyweight Championship held in Shelby Mt
The following items will be sold to assist in raising the necessary funding
Please provide the following ordering information:
Click here for some pictures of the products

ITEM	Price	How Many	Total Cost
Matched Set of Collectibles (Signed with same number)| Bronze, Desk Top Bronze Boxing Gloves, Lithograph	$2500		$
Bronze (signed & numbered)	$1500		$
Desk Top Bronze Boxing Gloves (signed & numbered)	$250		$
Lithograph (signed & numbered)	$100		$
Ringside Shelby DVD	$25		$

Total Amount

$

Please provide the following BILLING & SHIPPING information:

Name
Street Address or PO Box
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

I wish to pay by:check (enclosed)DiscoverMasterCardVISA
Total Amount $
Card Number Expiration Date 2006 2007 2008 2009 2010 2011 2012 2013
Name on Card
Signature ____________________________________________

Please print and return this form to: Champions Park, % Barbie Alvestad  First State Bank     P.O. Box 913 Shelby MT 59474

Copyright © 2003 [Champions Park]. All rights reserved.
Revised: 11/30/06

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Champions Park
Shelby MT 59474

Questions or problems regarding this web site should be directed to [Stirling Web Design].
Copyright © 2002 [Champions Park]. All rights reserved.
Last modified: 11/30/06