Print out this form, complete and mail to FRA 91 at the address provided below. If paying by check, please enclose with order. If paying by credit card, someone will contact you for your payment information. Thank you for supporting FRA #91.
  SHIPS STORE ORDER FORM  
   
  NAME:      
  SHIPPING ADDRESS:      
         
  DAY PHONE:      
  EVENING:      
  E-MAIL ADDRESS      
   
  ITEM SIZE    COLOR   COST   QUANITY   SUB TOTAL  
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                Sub-Total      
                Shipping      
                TOTAL      
   
SHIPPING COST =10% WITH $5.00 MINIMUM
First Coast Branch 91 904-269-7436 If paying by credit card please provide
5391 Collins Road 904-264-2833 the best number to contact you at during the day: ____________________________
Jacksonville, FL 32044 FAX 904-264-5888