ORDER FORM FOR ZIPPER PULLS FROM CARLISLE VIETNAM VETERANS, INC
print this page for mail or fax order

COST: large pulls $3.00 - small pulls $2.00 - lettered pulls (including custom items) $4.00 Print this form and pay by check or money order (pay to Carlisle Vietnam Veterans, Inc.) for the TOTAL DUE below. Robert Hall. 161 Candlelite Drive. Carlisle, PA 17013
number ordered	description of item	price per piece	line total for this item
1-	1-	1-	1-
2-	2-	2-	2-
3-	3-	3-	3-
4-	4-	4-	4-
5-	5-	5-	5-
6-	6-	6-	6-
7-	7-	7-	7-
8-	8-	8-	8-
9-	9-	9-	9-
10-	10-	10-	10-
11-	11-	11-	11-
shipping is $2.00 for 1-5 pulls, $3.00 for 6-10 pulls = 11 or more shipped free
cost of shipping			$
TOTAL DUE			$
name	-
street/apt	-
city, state, zip	-
phone number - in case we have a question		-
MAKE YOUR OWN CUSTOM ZIPPER PULL BELOW - UP TO 15 LETTERS - $4.00
just mark letter or color in the space below - scribble out any extra boxes which you don't want to use __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ring will be at LEFT end and the tie will be at the RIGHT end letters are ALL capitals, black lettering on white bead plus black heart on white bead colors are red, white, blue (light, medium, dark), black, brown, tan, maroon, yellow, orange (light, dark), green, purple