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ORDER FORM - Men's & Ladies 100%
Polyester Blazers
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rev 05.31.12
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1. Billing/Shipping Information
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Club or District Name
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* = required field
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Ship-to Street Address (no PO Boxes) *
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City *
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State/Province *
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Zip *
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Name *
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E-Mail *
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Phone *
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Fax
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Special Instructions
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Date Needed *
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Allow 2 weeks for delivery
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Payment Type
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2. Blazer Size and Color Options
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Men's Sizes
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Ladies Sizes
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Color
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Men's 34 - 48
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$69.95
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Ladies 2 - 22
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$69.95
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Men's 50 - 64
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$79.95
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Ladies 24 - 28
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$79.95
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If you would like a copy of your form please click
"Print" before you click "Submit"
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