The Emporia Area Chamber of Commerce
presents . . . “Corky”
1st in a Limited Series of Bobble Heads is this
7” Corky — ESU Mascot
Corky is handcrafted and hand painted; made of
cold cast ceramic that gives weight and durability.
Purchaser Information:
Purchaser Name: ______________________________________________________________
Address: _____________________________________________________________________
City: _________________________________________ State: _______ Zip: _____________
Contact Phone Number: ________________________________________________________
Contact email:_________________________________________________________________
Order Information:
Number of Corky Bobble Heads ______ X $20 each (Sales tax included) ______________
Form of Payment:
_______ Cash _______ Check _______ VISA _______ MasterCard
Credit Card # _________________________________________________________________
Statement Mailing Address: _____________________________________________________
Expiration Date: __________ CVV # _____ Purchaser Signature: _____________________
Shipping Information: We will be glad to ship Corky for you. All packages will be insured,
and the Emporia Chamber is not responsible for items lost or damaged during shipping.
Contact the Emporia Area Chamber of Commerce for shipping details.
719 Commercial, Emporia, KS 66801
620.342.1600 www.emporiakschamber.org