PLEASE PRINT CLEARLY
Phone
NCCS Patch Order Form
(Post to Account 67009-4810)
Page 1 of 2
Diocese/Eparchy
Today’s Date
Email
Credit Card #
Exp. Date
Visa
MC
Amex
Disc
ORDERED BY
SHIP TO
Name
Name
Address
Address
City
St.
Zip
 ALL ORDERS MUST BE PAID IN ADVANCE BY CHECK
OR CREDIT CARD
 PLEASE ALLOW 2-3 WEEKS FOR DELIVERY
 RETURNS MAY BE SUBJECT TO A RESTOCKING FEE
(Same as Ordered By unless indicated)
City
St.
Item
Rosary Series
Pray The Rosary Patch
Joyful Mysteries Patch
Luminous Mysteries Patch
Sorrowful Mysteries Patch
Glorious Mysteries Patch
Qty
Zip
Price
Total Amount
These patches are 5” in diameter
Marian Series (New)
Immaculate Conception
Our Lady of Guadalupe (2013)
Our Lady of Lourdes
Our Lady of the Miraculous Medal
Our Lady of Sorrows
These patches are 3” in diameter
Footsteps of American Saints
Andre Bessette
Frances Xavier Cabrini
Peter Claver
Mother Marianne Cope
Juan Diego
Katherine Drexel
Rose-Marie Duchesne (new)
Mother Marie Durocher (new)
Saint George
Mother Theodore Guerin (new)
Isidore the Farmer
Isaac Jogues
Michael McGivney
Damien of Molokai
John Neumann
Miguel Augustin Pro (new)
Carlos Rodriguez
Junipero Serra
Elizabeth Ann Seton
Kateri Tekakwitha
These patches are 3” in diameter
Faith Series (new) more coming in 2015
Corporal Works of Mercy
Subtotal :
x
4.00
Subtotal :
x
3.00
Subtotal :
x
3.00
Subtotal :
x
3.00
Item
2013 National Jamboree Patch - Live Bold, Live Catholic
Quality Diocese Patch
Quality Unit Award
Pope Paul VI Certificate
Pope Paul VI Ribbon
Pope Paul VI Patch
Pope Paul VI Rocker
Qty
(while supplies last)
Price
x
x
x
x
x
x
(ordered by local CCS)
(ordered by local CCS)
(ordered by qualifying units)
(ordered by qualifying units)
Subtotal:
Total P1 :
2.00
3.50
1.50
1.25
1.00
0.25
Total Amount
Complete this order below
PLEASE PRINT CLEARLY
NCCS Misc Order Form
ORDERED BY
SHIP TO
Name
Name
Address
Address
Item
(Post to Account 67009-4810)
Page 2 of 2
(Same as Ordered By unless indicated)
Description
Duty to God Patch
NCCS Pocket Patch
NCCS Jacket Patch
NCCS Decal (3"x 4")
International Awareness
Qty
Patch
Pin
Medallion
NCCS Priest Stole
NCCS Deacon Stole
NCCS Embroidered Blazer Emblem
16-436 Religious Emblems for Catholics
16-3011 Light is Life Record Book
16-106 Light is Life Counselor Guide
16-104 Eagle Scout Recognition Certificate
16-3075 A Scout is Reverent pocket book
16-461 Catholic Scout Reference pocket book
16-405 Chaplain Resources for Various
Scouting Related Religious Events
Price
x
x
x
x
x
x
x
Priest Stole
(See the note below)
Deacon Stole (See the note below)
Blue emblem with gold embroidery and magnetic
backing, to be worn on a blazer
A 4-color brochure designed to be both
informational and promotional on the Catholic
religious emblem program.
We offer a special price of $20 per 100 on this
item
The Light is Life emblem program is available for
Eastern Catholic Boy Scouts.
Light is Life Counselor Guide is available for
Eastern Catholic adult leaders.
Eagle Scout Recognition Certificate
Special price of $50 per 100 on this item.
"A Scout is Reverent" - Source Book for Scouts of
Catholic Faith
"Catholic Scout Reference Manual" – A pocket
book
with a summary of the NCCS emblems, activities
and key events
Ever needed to conduct a prayer service, needed
an
opening prayer for a Scout meeting, or just some
ideas for a Scout Sunday activity? A must for
chaplains and those responsible for planning any
religious activity.
Subtotal P2
Subtotal from P1 (see above)
Total Amount
1.00
3.00
7.00
0.35
1.00
4.00
15.00
x
x
x
125.00
125.00
25.00
x
0.50
x
4.00
x
4.00
x
1.00
x
2.00
x
0.30
x
3.00
COMPLETE ORDER HERE
Determining Shipping & Handling Charges
Sub Total
Up to $15
$15.01 to $25
$25.01 to $50
$50.01 to $75
Over $75.00
Form updated 1/9/2015
Shipping & Handling
$ 4.00
$ 5.50
$ 7.50
$ 9.50
$ 11.50
(See the note below)
Sub Total (P1 + P2)
Deduct 10% if order is over $400
Deduct 15% if order is over $800
Deduct 20% if order is over $1600
-
Sales Tax (where applicable)
Shipping & Handling
Grand Total
Note: If you are ordering stoles or shipping to Alaska, Hawaii, Puerto Rico, internationally or to a military location, contact the NCCS office to determine the shipping cost.
Call 972-580-2114, fax to 972-580-2535 or email [email protected].
PLEASE INDICATE CREDIT CARD INFORMATION ABOVE OR MAKE CHECK PAYABLE TO NCCS AND MAIL TO:
National Catholic Committee on Scouting
P. O. Box 152079
Irving, Texas 75015-2079
Phone: 972-580-2114
Fax: 972-580-2535
Email: [email protected]