SHIPS STORE ORDER FORM

Print this page and fill it out. Then Email: Ships Store Officer-

"for shipping and handling costs." Email: mapullm@klmtel.net

Or Call: (417) 927-3471

(Let him know what you are ordering and the quantity of each item)

THEN mail Payment and this order form to:

Frank Pulliam

18179 S. 200 Rd.

Deerfield, MO. 64741

 

Quantity:

____19th Reunion Cups (Mugs)-- $ 9.00 each………………….....$ __________________

____Past Years Reunion (Mugs) -- $3.00 each................................$ __________________

(Please Email Franklin for available years.)

____White Caps -- $ 8.00 each…………………………………......$__________________

____Blue Caps---$ 8.00 each ……………………………………....$__________________

____Ships Patches--$6.00 each…………………………………….$__________________

____Window Decals--$3.00 each (Same as Ships Patch)……….....$__________________

____Key Chains--$4.00 each (Same as Ships Patch)………….......$__________________

____Bumper Sticker--$2.00 each…………………………………..$__________________

____Name Tags-$2.00 each………………………………………..$__________________(NO PICTURE)

SHIPPING AND HANDLING (See above)....................................$__________________

TOTAL...............................................................................................$__________________

SHIP TO:______________________________________________

ADDRESS:_____________________________________________

CITY:____________________________STATE:_______________ ZIP:______________