317th VETERANS GROUP

APPAREL ORDER FORM

 

Call or Email  Mr. Carson Zake at EmbroidMe if you have any questions regarding your order.

You can print out this order form and mail or fax it to the EmbroidMe Co. at the address below.

You may also order by phone. 410-760-7304

EmbroidMe

6710-A Ritchie Highway                                                 410-760-7304 (phone)

Glen Burnie, MD 21061                                                  410-760-7306 (fax)

glenburnie@embroidme.com

  

Name: _________________________________________________

 

Address ________________________________________________

 

City, State & Zip Code: ____________________________________

 

Phone Number: ____________________________

           

Credit Card   # _______________________________

 

Exp. Date : ______________          Security Code #  ______________

 

Item                      Color                    Size                        Price

 

________               __________         ________               ________

 

________               __________         ________               ________

 

________               __________         ________               ________

 

________               __________         ________               _________

 

Note: We will call with a final price including shipping and sales tax

 

Pricing in effect until July 31, 2010

 

If you have any questions on your order, please call the number shown above.

 

Thank You.