PO Box 620236
Fort Rucker, AL 36362-0236
Mail with Payment in stamped envelope to: Mastercard/Visa Information Account#_______________Exp. Date_______________ Signature____________________ Name____________________________________________________Date___________ Address_________________________________________________________________ City___________________________State________________Zip + 4_______________ Phone Number ____________________ Email:_________________________________ *FOR ANY CLOTHING ORDERS PLEASE PROVIDE HEIGHT AND WEIGHT*
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Item | Description (full description please | QTY. | Size | Color | Unit Price | Amount |
| Subtotal | ______ |
| Postage and Shipping | ______ |
| ______ | |
| Sales Tax Al. 8% | _______ |
| Extra Postage (i.e. for heavier items ,for Canada, overseas, and APO/FPD) | _______ |
| _______ | |
| Total | _______ |
| Phone: (334) 598-4902 |