LOGO ITEMS ORDER FORM


PLEASE INCLUDE:

YOUR NAME ________________________________

ADDRESS___________________________________

CITY_____________ STATE ______ ZIP________

PHONE NUMBER____________________________

ASSOC. NO._________________________________

DATE OF ORDER ___________________________


web

MAKE CHECKS OUT TO SAFBVA
79 N. VIRGINIA STREET WATERLOO, NY 13165-1105
ATTN: TOM KIRK

IF YOU HAVE ANY QUESTIONS CONTACT; TOM KIRK at 315-539-2854 or E-mail at; tkirk@rochester.rr.com

Due to periodic price and logo item changes, please use the latest issue of Roll Call when ordering.

WE DO NOT ACCEPT CREDIT CARDS

SHIPPING CHARGES (Includes packaging and mailing)

$0 To $25.00$5.00
$25.00 To $50.00.$6.50
$$51.00 To $100..$8.00
$101.00 To $200.00.$9.00
$201.00 To $300.00.$10.00
$301.00 To $400.00.$10.50