Named Gift Honoree Pin Order Form Click here to download and print our order form. If you have any questions on this fundraiser, please email to: maalice_hmb@comcast.net. Mary Alice Pierce Alternately, you may submit your order through the following online form. Sold To:*Enter name below. First Last Branch: Ship To:*Enter name below. First Last Street Address:* City/State/Zip:* Phone:*Ship By: MM slash DD slash YYYY Silver and Green Agate Pin Quantity Price: $65.00 Quantity Total ($USD) Shipping Charge ($5/pin within USA) QuantityNote: If bought at the AAUW conference, no shipping charge Price: $5.00 Quantity Amount Due ($USD) Δ