VIRGINIA PIN TRADER VEST ORDER FORM Name Address City

 VIRGINIA PIN TRADER VEST ORDER FORM
Name
Address
City, State, Zip
E-Mail Address
Telephone Number
Vest Size (Circle One)
Small
(34-36)
Medium
(38-40)
Large
(42-44)
$ 35.00 each
$
X-Large
(46-48)
XX-Large
(50-52)
XXX-Large
(54-56)
$ 40.00 each
$
$ 45.00 each
$
XXXX-Large
(58-60)
Postage $7.00 per vest
$
TOTAL AMOUNT DUE:
$
Please make checks payable to JANE INGRAHAM