FDNY STEUBEN MERCHANDISE ORDER FORM

MAILING ADDRESS:

NAME

 

ADDRESS

 
   

CITY, ST, ZIP

 

DESCRIPTION

CODE

SIZE

UNIT PRICE

QTY

TOTAL

           
           
           
           
           
           
           
           
           

Shipping and handling: Add $4.00 for each item. No S & H charge on patches & stickers only.

SUB TOTAL

 

Shipping & Handling

 

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

 

 

 

 

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