Order Online – Southern California Region, VCCA

Order Today!

VCCA hats ordered online are $26.00 each (includes domestic postage and an internet convivence fee of $1.00). Orders are shipped by First-Class Mail via the United States Postal Service. Allow two weeks for delivery.

Payments are processed via Stripe and may be made via all major credit and debit cards. To place your order, complete the form below and upon submission you will be redirected to our payment processer for final checkout and payment.

Thank you for your order and for supporting the Southern California Region. We appreciate it!

Fields below marked with a * are required to be completed.

Hat Order

Customer Information

First Name

Last Name

Home Address

Home Address Line 1

Home Address Line 2

Home City

Home State

Home Zip Code

Home Country

VCCA Member No.

Phone Type

Cell Phone (preferred)

Landline

Phone No.

Delivery Information

Ship To Address Option

I want to receive my order at my home address.

I want my order sent to another address as indicated below.

Ship-To Address

Ship-To Address Line 1

Ship-To Address Line 2

Ship-To City

State

Ship-To Zip Code

Ship-To Country

Order Details

The hat price(s) below include an additional $1.00 internet processing convivence fee per item ordered.

VCCA Hat

VCCA Hat (Price $26.00)

Quantity of Hats Ordered

Payment Details

Some description about this section

Item	Price	Qty	Line Total
VCCA Hat - VCCA Hat (Price $26.00)	$26.00	1	$26.00
Total			$26.00

Pay with Card (Stripe)

Authorization

By submitting this order form, I authorize the Southern California Region, VCCA (SCRVCCA) to charge the payment method instrument I have provided for the item(s) and Quantity(ies) I entered in this form. I authorize SCRVCCA to contact me regarding my order, membership, announcements, events, and other related reasons/uses. I further authorize SCRVCCA to share my information to a third-party (as may be needed) on a restricted basis only to process and fulfill this order.