Name:________________________________________________________________________

Address_______________________________________________________________________

City:_______________________________________ State:_____________ ZIP_____________

Phone Number: (         )___________________________________________________________

Email Address:_________________________________________________________________

Item                            Color                  Size               Quantity                Price               Total         

  Priority Mail Charges to add to your bill                                          Subtotal                               

  Add $7.00 for every 1-3shirts/vests ordered                                            Shipping                               

  Add $4.00 for 1-3  hats                                                                            Total                               

  Add $1.00 per patch               

Mail this order with your payment made out to:                                    

Phillies Fire Company

Attn:Chad Quinter

C/O Company Merchandise

Penn & Chestnut Streets

Pottstown, PA 19464