Emblem & Supply Department - Veterans of Foreign Wars

DATE:SHIP TO:POST#(2008-2009)VETERANS OF FOREIGN WARS SUPPLY DEPT.406 WEST 34th STREET - KANSAS CITY, MISSOURI 64111WEBSITE - www.vfwstore.org - CUSTOMER CALL CENTER 1-800-821-2606DEPTMEMBER #BILL TO: When using a chargecard, please provide addressof card holder.POST#DEPTOrder #DateNameOn HoldCCBCCB N/MCheck Amt.Check Amt.CashNameFor office use onlyCUSTOMER NAMEFirst M.I. LastCUSTOMER NAMEFirst M.I. LastSTREET ADDRESS(Avoid using P.O. Box number)STREET ADDRESSCITY STATE ZIPCITY STATE ZIPHOME PHONEBUS. PHONE(Area Code)(Area Code)HOME PHONEBUS. PHONE(Area Code)(Area Code)E-MAIL ADDRESSE-MAIL ADDRESSPriceStockNumber Quantity Catalog Description of MerchandiseSizeColorEach, Set,100, etc.TotalsORDERS MAY BE FAXED TO (816 -968-1196)WHEN USING A CHARGE CARD.When orders are faxed - To avoid duplication, PLEASE DO NOT MAIL IN ORIGINAL ORDER.SHIRT/JACKETORDER FORM ONREVERSE SIDEMETHOD OF PAYMENTFor your protection, do not send cash or stamps. Make check or moneyorder payable to Veterans of Foreign Wars of the U.S.OR charge it to your MasterCard, VISA, Discover or American ExpressM.C. Visa Discover American ExpressNo shipping and handling on catalogs.SHIPPING & HANDLINGUp to $10.00 .............Add $3.00$10.01 to $25.00 .............$6.00$25.01 to $50.00 .............$7.00$50.01 to $75.00 .............$8.00$75.01 to $100.00 ..........$10.00$100.01 to $200.00 .........$12.00$200.01 to $300.00 .........$14.00$300.01 & Over..............$16.00Prices effective through 8-31-09Total for Merchandise OrderedMissouri Resident Only –Add 7.725% TaxShipping & HandlingBalance Due from Previous OrderBe Sure to Show Invoice No.If Ordering a Catalog, Add $2.50Expiration Date://Money Order No.Post Check No.Please add the last 3numbers that appearin the signature blockon the back of yourcharge card.For American ExpressPlease add the 4 numbersprinted on the front of yourcard on right side.TOTAL AMOUNT$49Signed