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Pamela Waterston

8435 Den Bark Dr

Richmond, VA 23235

(804) 745-4568 phone

PH2OSTON@aol.com

You may print out this form. Complete and send form with your check or money order (made out in US Funds) to PAMELA WATERSTON. Sorry but we are not currently accepting credit cards. Items will be mailed upon receipt of order form and payment. Special arrangements for larger quantities, special shipping, etc can be made by phone.

Kindly let us know if this item will be for a: ____ Vet or ____ non-Vet

QUANTITY----ITEM----PRICE:

________ Glass Bowl (large) w/potpourri, votive, and candle

                                                   $ 6.00 each: __________

CIRCLE THE POTPOURRI SCENT YOU WANT:

Black Cherry--Blue Spruce--Cinnamon Apple--Cinnamon Spice

Evergreen Forest--Freesia--Gardenia--Jasmine--Lavender

Magnolia Blossom--Mulberry--Peach--Pine--Pumpkin--Raspberry

Rose--Sea--Spice Apple--Tropical Breeze--Vanilla

CIRCLE THE CANDLE SCENT YOU WANT:

Bayberry--Black Cherry--Cinnamon Apple--Evergreen Forest

Freesia--Gardenia--Jasmine--Lavender--Mulberry

Ocean Breeze--Peach--Potpourri--Rose--Unscented--Vanilla

CIRCLE THE DISK COLOR YOU WANT:

Cream--Dark Blue--Dark Burgundy--Forest Green--Gold

Hunter Green--Light Blue--Light Burgundy--Mauve

Mauve & Gold--Medium Burgundy--Peach--Red--Rose--White

==========================

________ Decorative 8" Plate             $ 8.00 each: __________

________ Decorative 10" Plate          $ 10.00 each: __________

________ Decorative 12" Plate          $ 12.00 each: __________

________ Framed Decorative Picture 5" x 7"

                                                      $ 5.00 each: __________

==========================

SELECT THE BRACELET & NECKLACE YOU WANT:

Bracelets & Necklaces                        $ 5.00 set: __________

        _____ Patriotic (opaque)

        _____ Patriotic (clear)

        _____ Black & White

        _____ Vietnam War Service

==========================

SELECT THE PINS YOU WANT:

Pins                                               $ 3.00 each: __________

        _____ Red, White & Blue Ribbon with US Flag pin

        _____ US Flag pins made with safety pins

                  ________ GOLD SAFETY PINS

                  ________ SILVER SAFETY PINS

==========================

SELECT THE ANTENNA FLAG YOU WANT:

Flags                                             $ 5.00 each: __________

        ________ US Flag

        ________ Purple Heart Flag

        ________ Korean War Service Flag

        ________ Vietnam War Service Flag

        ________ Southwest Asia War Service

                     ==========================

SELECT THE ZIPPER PULL YOU WANT:

Short Zipper Pull:                           $ 1.00 each: __________

        ________ PATRIOTIC

        ________ BLACK & WHITE

        ________ VIETNAM WAR SERVICE

Long Zipper Pull without letters:       $ 3.00 each: __________

        ________ BLACK & WHITE

         ________ NAVY COMBAT RIBBON

        ________ PURPLE HEART

        ________ VIETNAM WAR SERVICE

        ________ VIETNAM CAMPAIGN

        ________ SOUTHWEST ASIA WAR SERVICE

Long Zipper Pull with letters:            $ 3.00 each: __________

        ________ PATRIOTIC

        ________ ARMY

        ________ NAVY

        ________ KOREA

         ________ LRRP

         ________ MEDIC

         ________ WAC

         ________ WAF

         ________ WAVES

Long Zipper Pull with letters:           $ 4.00 each: __________

        ________ POW-MIA

        ________ MARINES

        ________ 1ST CAV

        ________ AIRBORNE

        ________ NURSE

        ________ RANGERS

                        _____ BLACK

                        _____ TAN

        ________ TET 68

Long Zipper Pull with letters:           $ 5.00 each: __________

        ________ AIR FORCE

        ________ COAST GUARD

        ________ MERCHANT MARINES

        ________ AGENT ORANGE

        ________ CORPSMAN

        ________ DESERT STORM

        ________ DONUT DOLLIE

        ________ DONUT DOLLY

        ________ MCB w/NUMBERS

        ________ SEABEES

        ________ SPECIAL FORCES

        ________ VIETNAM w/DATES

==========================

SELECT THE KEY CHAIN YOU WANT:

Key Chain:                                     $ 4.00 each: __________

        ________ PATRIOTIC

        ________ BLACK & WHITE

        ________ BLACK & WHITE w/VIETNAM WAR SERVICE

        ________ BLACK & WHITE w/SOUTHWEST ASIA

                      WAR SERVICE

        ________ VIETNAM WAR SERVICE

        ________ VIETNAM WAR SERVICE & VIETNAM CAMPAIGN

        ________ VIETNAM WAR SERVICE & PURPLE HEART

        ________ SOUTHWEST ASIA WAR SERVICE

        ________ SOUTHWEST ASIA WAR SERVICE

                      & PURPLE HEART

Key Chain w/Letters POW-MIA        $ 5.00 each: _________

==========================

SELECT THE MAGNETS YOU WANT:

LARGE MAGNETS:                           $5.00 EACH

        _________ SUPPORT OUR TROOPS              __________

        _________ SUPPORT OUR TROOPS 2 (RWB)  _________

        _________ POW-MIA                                 __________

        _________ FREEDOM ISNíT FREE                 __________

        _________ BLUE SERVICE STAR                  __________

MINI MAGNETS:                             $3.00 EACH

        _________ SUPPORT OUR TROOPS              __________

        _________ SUPPORT OUR TROOPS 2 (RWB) __________

        _________ POW-MIA                                 __________

        _________ FREEDOM ISNíT FREE                 __________

        _________ AMERICAN FLAG                        __________

        _________ VIETNAM VET                            __________


STATIC CLING:                             $4.00 EACH

        _________ SUPPORT OUR TROOPS               __________

==========================

SUPPORT OUR TROOPS T-SHIRTS:

S-XL: $10.00 EACH 2X-3X: $12.00 EACH:

        _________ SMALL                                      __________

        _________ MEDIUM                                    __________

        _________ LARGE                                      __________

        _________ X-LARGE                                   __________

        _________ 2X-LARGE                                 __________

        _________ 3X-LARGE                                 __________

==========================

                                                   SUBTOTAL __________

Add shipping & handling for bowls, plates and framed decorative pictures:

                                                    $ 5.00 each: ________

Add shipping & handling for all other items:

                                                    $2.00 each: ________

Orders going outside the continental US:

                               add $15.00 to the postage: __________

Sales tax is included in price

We will also gift wrap our bowls for an

                            additional fee of $2.00 each: __________

                                                          TOTAL __________

Send items to:

Name: __________________________________________________

Address: __________________________________________________

City, State, Zip: __________________________________________________

Telephone Number: __________________________________________________

Email Address: __________________________________________________

Portion of proceeds go to Freedom Fest, Skidmore, MO and Support Our Troops

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