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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 $5.00 for every 2 shirts/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
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