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NAME |
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ADDRESS |
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CITY, ST, ZIP |
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DESCRIPTION |
CODE |
SIZE |
UNIT PRICE |
QTY |
TOTAL |
Shipping and handling: Add $4.00 for each item. No S & H charge on patches & stickers only.
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SUB TOTAL |
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|
Shipping & Handling |
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|
GRAND TOTAL |
***Please print this form out and mail it with a check or money order made out to: STEUBEN CHARITIES.
Mail to: FDNY STEUBEN CHARITIES, C/O CHARLES MESSEMER , 150-22 17th AVE, WHITESTONE, NY 11357-3121
Please include daytime phone # & e-address in case we need to contact you.
Thanks