Order Form
Print this page, complete in pen, and mail with check to
Florida Jim, 2520 McCormick Road, Southport Florida, 32409
Make Check Payable to: Floridajim
Qty |
Item |
Each |
|
| Service Yellow Ribbon Lapel Pin | $12.00 | ||
| License Plate | $30.00 | ||
| Loved One Lapel Pin | $7.00 | ||
|
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|
Sub total |
|
|
| Florida Residents add 7% Sales Tax | |||
|
Add $5.00 Shipping and Handling |
|
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| Total | |||
Special Instructions - Include any appropriate instructions.
Include appropriate photographs.
Name: _____________________________________________
Address____________________________________________
City, State __________________________________________
Zip____________