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| DPCA No Fill Logo (No embroidery inside logo) | DPCA Full Fill Logo | Centennial 2008 Logo (For those still wishing to order keepsake) |
Name________________________________ E-mail address_______________________________________
Physical Address (NO PO Boxes accepted) ______________________________________________
City__________________________ State__________________ Zip/Postal Code_________________
Country____________________ Phone number__________________
Please indicate logo desired by checking the correct box.
Logo (check box) | |||||||||||||||
Item and Item Number | Color | Size | No | Full fill | Cent | Special Instruction | Qty | Price | |||||||
Shipping & Handling: | $8 for first item | ||||||||||||||
$4 for each additional item | |||||||||||||||
Sub Total | $ | ||||||||||||||
S&H | $ | ||||||||||||||
Total | $ | ||||||||||||||
Sharon Pflueger, 1304 West Sandy Ridge Rd., Monroe, NC 28112 704.764.9317 goldgrove1@aol.com