| ORDER BLANK |
| " Please print this form and mail" |
| Make Check or Money Order payable to Clyde F. Tracy. Mail to: Clyde F. Tracy 126 Radar Creek Road Sarah, MS., 38665 E Mail ussjason@yahoo.com |
SHIP TO:________________________________________________________________________ ADDRESS: ______________________________________________________________________ CITY STATE ZIP CODE___________________________________________________________ PHONE NO._____________________________ E Mail ___________________________________ YEARS SERVED ABOARD USS JASON________________________________________________ |
| CAP: USS Jason AR 8 NO___/ Each $25,00 S&H $7.00 Total $_______ CAP: YSS Jason Decom. NO___/ Each $30,00 S&H $7.00 Total $______ PATCH: USS Jason NO___/ Each $ 5.00 S&H $2.00 Total $____ CUP: USS Jason 2000 NO___/ Each $8.00 S&H $8.00 Total $_______ CUPS: USS Jason 2000 (2) NO___/ Each $15.00 S&H $14.50 Total _______ BOOK: USS Jason WWII NO___/ Each $30.00 S&H $6.00 Total$_______ BOOK: USS Jason WWII NO___/ Each $45.00 S&H $8.00 Tota$_______ BOOK: 1959 Jason Cruise NO___/ Each $30.00 S&H $7.00 Total$_______ BOOK: WWII Pac. News NO___/ Each $25.00 S&H $7.00 Total$_______ BOOK: Reunion 2000 NO___/ Each $40.00 S&H $8.00 Total$_______ PHOTO: Color ARH-1 NO___/ Each $15.00 S&H $6.00 Total$_______ PHOTO: Color AR-8 NO___/ Each $1.00 S&H $6.00 Total$_______ VIDEODecom 1995 NO___/ Each $35.00 S&H $7.00 Total$_______ GRAND TOTAL$_________ |
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