the order form. - afprn

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... T-SHIRT, PIN. ORDER FORM. MAIL ORDER FORMS TO: E-mail: [email protected] aafp.org ... SWEATSHIRTS- W = White, A = Ash, N = Navy. Adult, Medium W A N.
AFPRN SWEATSHIRT, T-SHIRT, PIN ORDER FORM

|MAIL ORDER FORMS TO: E-mail: [email protected] | |Pat Goranflo Phone: 800-274-2237 Ext. 6706 | |11400 Tomahawk Creek Parkway | |Leawood, KS 66211-2672 | |SEND TO: Contact phone #: | |Contact E-mail: | | | |PREPAYMENT REQUIRED: PLEASE MAKE CHECKS PAYABLE TO: AFPRN |

|QTY |DESCRIPTION (Circle Color Desired) |UNIT PRICE |TOTAL | | |SWEATSHIRTS- W = White, A = Ash, N = Navy | | | | | Adult, Medium W A N |25.00 | | | | Adult, Large W A N |25.00 | | | | Adult, X-Large W A N |25.00 | | | | Adult, XX-Large W A N |27.00 | | | | Child, 2-4 W A N |15.00 | | | | Child, 5-8 W A N |15.00 | | | | Child, 10-12 W A N |15.00 | | | | | | | | |T-SHIRT- W = White, A = Ash, N = Navy | | | | | Adult, Long sleeve, Medium W A N |18.00 | | | | Adult, Long sleeve, Large W A N |18.00 | | | | Adult, Long sleeve, X-Large W A N |18.00 | | | | Adult, Long sleeve, XX Large W A N |18.00 | | | | Adult, Short sleeve, Small W A N |15.00 | | | | Adult, Short sleeve, Medium W A N |15.00 | | | | Adult, Short sleeve, Large W A |15.00 | | | |(Navy not available until further notice) | | | | | Adult, Short sleeve, X-Large W A N |15.00 | | | | Adult, Short sleeve, XX-Large W A N |15.00 | | | | | | | | |AFPRN Pin |25.00 | | | | | | | | |Blue Cap | 8.00 | | | |Blue Coffee Cup | 6.00 | | | |Black folder | 5.00 | | | | | | | | | |SUB TOTAL | | | |SEE SHIPPING CHARGES BELOW |SHIPPING & | | | | |HANDLING | | | | |TOTAL DUE | |

PLEASE SUBMIT PAYMENT AND SHIPPING WITH ORDER

SHIPPING CHARGES: 1-3 Shirts - $5.00 1-8 Shirts - $7.50 9 Shirts or more - $7.50 + $1.50 FOR EACH SHIRT ORDERED GREATER THAN 8 (i.e., 10 shirts = $7.50 + 3.00 = $10.50) AFPRN Pin /Cap/Cup/Folder- $3.00

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