Cacti PXPrint this form and indicate the items you wish to purchase. Then send the printed form and your payment to Joe Henderson at the address below.Name (First, Last): _______________________________________________________ Street Address: ___________________________________________________________ City: ________________________________ State: __________ Zip: _____________ Phone number: ____________________________________________________________ |
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| Item | Price | Quantity | Cost | |
| Assn. Golf/Polo shirt | $25.00 | ________ | ________ | |
| Assn. T-shirt | $20.00 | ________ | ________ | |
| Assn. Coffee Mug | $10.00 | ________ | ________ | |
| Assn. Baseball Hat | $10.00 | ________ | ________ | |
| Black Beret | $10.00 | ________ | ________ | |
| 35th Regt. Coin | $10.00 | ________ | ________ | |
| Dog Tags | $8.00 | ________ | ________ | |
| Assn. Patch | $5.00 | ________ | ________ | |
| CIB or CMB Lapel Pin | $5.00 | ________ | ________ | |
| CIB | $5.00 | ________ | ________ | |
| 35th Regt. Patch | $5.00 | ________ | ________ | |
| 35th Reg. Crest - Green | $3.00 | ________ | ________ | |
| 4th Div. Patch | $3.00 | ________ | ________ | |
| 25th Div. Patch | $3.00 | ________ | ________ | |
| CIB Bumper Sticker | $3.00 | ________ | ________ | |
| 35th Reg. Bumper Sticker | $2.50 | ________ | ________ | |
| Shipping & Handling ___________ | ||||
| (Orders $5.00 or less are $1.00 S&H, $6.00 to $15.00 are $3.00 S&H, and over $15.00 are $5.00 S&H) | ||||
TOTAL COST ___________ |
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All orders must include Shipping and Handling and be prepaid. Money Order is preferred but checks are also accepted. All orders are money back guarenteed, including shipping cost for the return. Mail payment to: 26 Neptune Lane Levittown, PA 19054 |
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