Text Box: Name:

Text Box:     USS WISCONSIN ASSOCIATION

Text Box: SHIP’S STORE ORDER FORM

Text Box: Email Address:

Text Box: Address:

Text Box: Ph. Number:

Text Box: City:

Text Box: State:

Text Box: Zip Code:

Text Box: After filling in the above section please print this form and complete the rest.  When finished, mail form and payment (check or money order) to: Paul Zentmyer, 1956 S. Coolwell Rd., Madison Heights, VA.  24572.  For questions about or pictures of items please email at: dadpaulz@comcast.net .

Item #

Description

Price

Quantity

Total Price

452

USS Wisconsin ballcap, Red

10.00

 

 

503N3X

Golf Shirt, Navy, 3X

18.00

 

 

503WMD

Golf Shirt, White, Medium

14.00

 

 

505LG

T-shirt, Wisconsin @ Nauticus, Large

7.00

 

 

505XL

T-shirt, Wisconsin @ Nauticus, XL

7.00

 

 

507NESM

Cold Weather Coat, Navy, Sm, Embroidered Back

55.00

 

 

507NMD

Cold Weather Coat, Navy, Med

45.00

 

 

507NSM

Cold Weather Coat, Navy, Small

45.00

 

 

507RLG

Cold Weather Coat, Red, Large

45.00

 

 

507RMD

Cold Weather Coat, Red, Medium

45.00

 

 

512R2XL

Golf Shirt, Red with piping, 2XL

23.00

 

 

512R3XL

Golf Shirt, Red with piping, 3XL

23.00

 

 

GSWB2XL

Golf Shirt, Wicking, Blue, 2XLarge

18.00

 

 

GSWR2XL

Golf Shirt, Wicking, Red, 2XLarge

18.00

 

 

GSWW2XL

Golf Shirt, Wicking, White, 2XLarge

18.00

 

 

553

Association Window Decal

1.00

 

 

W464

Stemware, 8 oz White Wine, set of 2

10.00

 

 

W472

Stemware, 11 oz, Red Wine, set of 2

12.00

 

 

 

Subtotals

 

 

 

SHIPPING

$.01 - $20.00 = $6.50       $20.01 - $40.00 = $7.50
$40.01 - $75.00 = $8.50  $75.01 - $100.00 = $9.50
$100.01 - $150.00 = $10.50   $150.01 - UP =$11.50

 

 

 

 

TOTALS