ORDER FORM |
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Please print clearly. Name _______________________________________________________ Address _______________________________________________________ City ______________________________ State ______ Zip Code ______ |
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| Totebag (18 left) | $5.00 each | Quantity ________ | Subtotal ________ |
| Postage & Handling (1 totebag) |
$2.00 | Quantity ________ | Subtotal ________ |
| Set of 4 coasters (15 sets left) | $5.00 each | Quantity ________ | Subtotal ________ |
| Postage & Handling (1 set of 4 coasters) |
$3.95 | Quantity ________ | Subtotal ________ |
| Larynards (8 left) | $1.50 each | Quantity ________ | Subtotal ________ |
| Postage & Handling (1 larynard) |
$2.00 | Quantity ________ | Subtotal ________ |
| Postage & Handling (for all 3 items above) |
$3.95 | Quantity ________ | Subtotal ________ |
| Total ___________ |
Please make the check payable to: Class of 1975 Reunion, and mail the check with this form to:
Jeanne Lavelle
9703 Galsworth Court
Fairfax, Virginia 22032
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