MAIL IN ORDER FORM

Print out this page and mail  to Sky Soldier's on the Beach

C/O 5640 Wellfield Road, New Port Richey, FL 34655

Phone (727) 376-2576

Make all checks payable to:

Florida Chapter, Society of 173rd Airborne Bde

 

Name:_______________________________________________________________________

 

Street Address: ________________________________________________________________

 

City:____________________________________________State:________Zip:_____________

Date:___________________________

 

Phone:__________________________

 

Email:___________________________

Please Allow   2 Weeks for delivery

WATER BOTTLE Quantity (choose one) Price

1 Bottle  $   9.60 Included S/H

2 Bottles $ 13.60 Included S/H

3 Bottles $ 19.90 Included S/H

4 Bottles $ 23.90 Included S/H

5 Bottles $ 26.90 Included S/H

 

 

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 This page last updated 09/05/2005 09:21:10

 

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