Please Print & Mail this form with your check or M.O. to:

Larry Futrell
818 Camino Real #101
Redondo Beach, CA 90277

Please allow 2-3 weeks for turn around.
Price includes Shipping & Handling.
CLICK HERE TO VIEW PATCHES LIFE SIZE.
[Note: hi-res images...60sec load @28.8]

Item
Quantity
Total
3" Alumni Patch
_____ @ $7.50
$____.__
5" Alumni Patch
_____ @ $12.50
$____.__
3" & 5" COMBO
______@ $18.00 $____.__
TOTAL
$____.__
Enclosed: Check___ Cash___ M.O. ___

Ship to:

Name:

_____________________________________________
Address:
_____________________________________________
City:
_____________________________________________
State:
_____________________________________________
Zip:
_____________________________________________
Email:
____________________@_________________________

CLICK HERE TO VIEW PATCHES LIFE SIZE.



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