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MAIL IN ORDER FORM Print out this page and mail to the Sky Soldier Store C/O 5640 Wellfield Road, New Port Richey, FL 34655 Phone (727) 376-2576 Make all checks payable to: Florida Chapter 173d Airborne Bde Assn |
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Name:___________________________________________________________________
Street Address: ____________________________________________________________
City:__________________________________________State:________Zip:___________ |
Date:__________________________
Phone:_________________________
Email:__________________________ |
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Please Allow 1-2 Weeks for delivery |
| 173d FL Chapter Coin Quantity (choose one) | Price |
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1 173d FL Chapter Coin $ 11.00 Included S/H 2 173d FL Chapter Coin $ 21.50 Included S/H 3 173d FL Chapter Coin $ 32.00 Included S/H 4 173d FL Chapter Coin $ 42.50 Included S/H 5 173d FL Chapter Coin $ 53.00 Included S/H |
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