USS HORNE REUNION SHIRT ORDER FORM
(PRINT THIS FORM OUT AND SEND IT
WITH PAYMENT)
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| STYLE | QUANTITY HOW MANY DO YOU WANT? |
PRICE
EACH (INCLUDES SHIPPING) |
SUB TOTAL | |||
 SMALL |
 |
X | $33.00 | = | A |
|
MEDIUM |
|
X | $33.00 | = | B | |
LARGE |
|
X | $33.00 | = | C | |
X-LARGE |
|
X | $33.00 | = | D | |
XX-LARGE |
|
X | $33.00 | = | E | |
XXX-LARGE |
|
X | $38.00 | = | F | |
TOTAL ENCLOSED (A+B+C+D+E+F): |
||||||
| MAKE CHECKS PAYABLE TO: | PACIFIC VOICEWARE |
| SEND ORDER FORM TO: | PO BOX 176 |
SHIPPING ADDRESS: (WHERE DO YOU WANT YOUR SHIRT(S) SENT?)
NAME:______________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY:_______________________________________STATE:____________ZIP:__________________ |