Phoenix Polo Shirts Order Form
 
Please use the order form below.

Make check payable to: Phoenix Society, Inc.
 
mail to:
P.O. Box 64
Annapolis Junction, MD 20701

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Member(s) Name______________________

Shipping Address:_____________________

________________________________

Please indicate Men's or Women's (ex: M- XLG or W-XLG)
Quantity: _____Size:_____Price:_______

Quantity: _____Size:_____Price:_______

Quantity: _____Size:_____Price:_______

------------Plus $5 each shipping:_______

---------------------------- TOTAL:_______

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