Ms. Mr. Mrs. Mr. & Mrs.

Please enter the following information in the boxes given:
Enter your first name. Enter your middle initial.

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Enter your city, state/province, zip code/postal code.



Enter your country.

Enter your phone number, (with area code).

Payment by MONEY ORDER is preferred. Personal Checks will be accepted.
Please click on the payment type enclosed with your order.

Money Order Personal Check. (Please make your check payable to: Robert Giordano.)

I would like to order the following items:

Item	Quantity	Amount	Total
Lapel pin		$6.00
B-24 charm		$6.00
Bola Tie		$9.00
Embroidered 512th Squadron patch.		$5.50
Embroidered 513th Squadron patch.		$5.50
Embroidered 514th Squadron patch.		$5.50
Embroidered 515th Squadron patch.		$5.50
Set of all four Squadron patches		$20.00
Laser clock		$5.00
License plate frame		$4.00

Order Sub-total

Shipping Charges

Total amount of order

Priority and International Shipping costs are available by emailing Liberandos@aol.com. Please email for shipping quote of multiple items.

After filling out this form, please print it out by clicking the Print button on your web browser. Then, simply mail this form to:

Robert Giordano
P.O Box 7
Niagara Falls, NY 14304

Orders will be shipped in two to three weeks. Thank you for your order!

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