ORDER FORM
PLEIKU AIR BASE ASSOCIATION

PLEASE PRINT CLEARLY

NAME: FIRST___________________________LAST___________________________________

STREET_______________________________________________________________________

CITY_____________________________________________STATE__________ZIP+4_______-____

PHONE WITH AREA CODE:_____________________________________________________

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BASEBALL CAPS WITH LOGO - QUANTITY ORDERED _________@ $12.00 EACH


SHIRT ORDERS:

TEE SHIRTS: The wives may order also if they wish.

COLOR: NAVY BLUE ______


SMALL TO EXTRA LARGE---------------------------------------------------------------$15.00
TWO FOR.............................................................................................................$25.00

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DECALS AND PATCHES:

PLEIKU AIR BASE ASSOCIATION PATCH  .............................................$3.00  OR 2 FOR $5.00