LADIES' AUXILIARY STORE

   ORDER FORM - USS FDR (CV-42) REUNION MEMORABILIA

  QTY                  ITEM                                                 PRICE*                TOTAL

 __________    Stadium Blankets Embroidered USS FDR                  $23.00                         _________ 
                          Red - Blue (circle color)

 __________    Extra Large Tote Bags Embroidered USS FDR          $14.00                         _________

 __________    Sweatshirts w/Auxiliary Logo                                       $20.00                        _________
                          (M - L - XL) circle one

                                                            SHIPPING & HANDLING                                                  _________

                                                                                                                    TOTAL                        ________

                           
    WATCH FOR NEW ITEMS IN THE FUTURE

SHIPPING & HANDLING: $1-$25 - $5.00        $26-$75 - $8.00     $76-$125 - $11.00     $126 and over - $15.00

PLEASE MAKE CHECK PAYABLE TO: USS FDR LADIES' AUXILIARY
AND MAIL TO: KAREN TUPPER, 5088 GREEN MEADOW RD., KALAMAZOO, MI 49009

NAME:_______________________________________  PHONE:_____________________________

ADDRESS:_________________________________________________________________________

CITY:__________________________________________ STATE:____________ ZIP:_____________

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