FDNY-CAROLINAS RETIREES ASSOCIATION

Golf Shirt Order Form

Available in S, M, L, XL, XXL

Cost $20.00 each plus shipping $5.00.
Make check payable to "FDNY-Carolinas Retirees Assn".

Print form and enclose check.

First name: Last name:
Address: State: Zip:

Phone:

E-mail address:

Select Quanity and Size
---- One Two Three ---- Small Medium Large X Large XX Large

Additional Shirt Select Quanity and Size
---- One Two Three ---- Small Medium Large X Large XX Large

Mailing Address
FDNY-Carolinas Retirees Assn
P.O. Box 2014
Little River, SC 29566

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