*** USS Fulton Association
***
*** Ships Store Order Form
***
Please print & fill out
this order form. Pay by check or money order,
please mail this form along with your payment to the address at the
bottom of the form. Make check or money order payable to the USS
Fulton Association. Not all items are kept on hand at all times,
please allow 10-14 working days for delivery and PLEASE remember
to give us your email address and/or a telephone number in case there is a
question about your order. We DO NOT distribute this information!
ORDERS SHIPPED TO OTHER THAN A USPS ZIP CODE WILL BE CHARGED
ACTUAL SHIPPING CHARGES.
|
SHIP
TO: |
BILL
TO: (IF DIFFERENT) |
||||
|
Name:___________________________________ |
Name:_____________________________________ |
||||
|
Address:_________________________________ |
Address:___________________________________ |
||||
|
City/ST/Zip:______________________________ |
City/ST/Zip:_________________________________ |
||||
|
Daytime
Phone:___________________________ |
Daytime
Phone:______________________________ |
||||
|
Email:___________________________________ |
Email:______________________________________ |
||||
|
ITEM |
QTY |
SIZE |
PRICE |
S&H |
TOTAL |
__________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
INCLUDE THE S&H OR THEY
WILL NOT BE SHIPPED!
Mail To:
Danny Penhall
109 Goodwin Lane
East Hartford, CT 06108-3729
Updated 29Sep22