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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 ISN’T FREE __________ _________ BLUE SERVICE STAR __________ MINI MAGNETS: $3.00 EACH _________ SUPPORT OUR TROOPS __________ _________ SUPPORT OUR TROOPS 2 (RWB) __________ _________ POW-MIA __________ _________ FREEDOM ISN’T FREE __________ _________ AMERICAN FLAG __________ _________ VIETNAM VET __________
_________ 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 Copyright 2000-2008 by Creative Scents in association with Tales and Whales Publishing. All rights reserved. |