NYSAFC Order Form 2011 7 by wpDUXY2b

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									NYSAFC, Inc.        SUPPLY ORDER FORM 2011 - 7             www.nysafc.org

Training Materials             PRICE         QTY               TOTAL
Chaplain's Manual              $25.00    x              =
DVD Training Series (3 part)   $25.00    x              =
DVD House of Worship           $10.00    x              =
Fire Chaplain Embroidered Hats:
White Ball Cap (w/logo)        $15.00    x              =
White Ball Cap (plain)         $15.00    x              =
Blue Ball Cap (w/logo)         $15.00    x              =
Blue Ball Cap (plain)          $15.00    x              =
Blue Knit Winter Hat           $10.00    x              =
Red NYSAFC Golf Shirts: (sizes run big - quantities limited)
 With Pocket - Small           $20.00    x              =
 With Pocket - Medium          $20.00    x              =
 With Pocket - Large           $20.00    x              =
 With Pocket - Extra Large     $20.00    x              =
 With Pocket - 2X Large        $20.00    x              =
 No Pocket - Small             $20.00    x              =
 No Pocket - Medium            $20.00    x              =
 No Pocket - Large             $20.00    x              =
 No Pocket - Extra Large       $20.00    x              =
 No Pocket - 2X Large          $20.00    x              =
NYS Association of Fire Chaplain Logos:
 NYSAFC Helmet Decal            $1.00    x              =
 NYSAFC Window Decal            $2.00    x              =
 NYSAFC Shoulder Patch          $4.00    x              =
 NYSAFC Lapel Pin               $5.00    x              =
 NYSAFC Pocket Emblem          $30.00    x              =
Ordered: ___/___/___           Add TOTAL Column        +
Received: ___/___/___           Add 15% Shipping       +
Shipped: ___/___/___           YOUR ORDER COST         =

Ship to: __________________________________________________________

Make Check / Money Order Payable (in US Funds) To: NYSAFC, Inc.
Mail Payment & Form To:
Rev. Tom Margrave, 29 William Street, Cortland NY 13045-3036
___________

								
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