Name:
Email:
Phone Number:
Organization:
Kappa Alpha
Psi
Alpha Phi Alpha
Alpha Kappa Alpha
Omega Psi Phi
Delta Sigma Theta
Phi Beta Sigma
Zeta Phi Beta
Sigma Gamma Rho
not listed
Plain Cane(with no tape)
Plain Cane (with color of your choice)
Kup
T-Shirt
Description on the Front of your
cane
Description on the Front and
Back
of your cane
Decription on the Front,
Bank, and (i.e. Glow tape, Louis Print, Hook,etc)
Decription on your CLEAR CANE
Description on your Paddle
Description onyour Unlimited Kane Main Color:
Letter Color:
Front Top:
Front Middle:
Front Bottom:
Back Top:
Back Middle:
Back Bottom:
Enter
dditional details of your item below:
Example: Clear Cane
Main Color: Krimson
