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ORDER FORM for 2004 Tall Ships calendar.

 

 

$12.95 per copy; $4.00 for Priority Postage     ___________ copies @  $16.95 total

                    $6.00 postage outside US

 

 

Name: ___________________________

 

Street Address: ____________________

 

City: ______________________________

 

State: _________  ZIP: ___________

 

 

Payment:  __________Cash  __________Personal Check   _________Visa/Mastercard

 

Name on card :____________________________

 

Sixteen digit account number: ______/______/______/______   Exp.Date: ____/______

 

 

Send copies to:   ________________               _________________      Enclosure to

                                                                                                                                               read:  

                                 ________________              _________________

 

                                 ________________              _________________

 

                                 ________________              _________________

 

 

Return to:  Thad Koza, 24 Mary Street,  Newport RI  02840 

e-mail: thadkoza@yahoo.com