Print this form and mail w/ personal check or money order payable to:
USS Albany Association, c/o Dave Hutchins , 1257 Main St, Walpole, MA 02081
Tel: 1-617-851-2783, storekeeper@ussalbany.org

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USS ALBANY (CA 123 or CG 10)
Ship's Store
ORDER FORM

ITEMS (circle here either CA 123 or CG 10)

SIZE

CLR

QTY

PRICE

2X/3X $

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Name:_________________________________________

Address:_________________________________________

City:____________________________ ST___Zip_______

Home Phone#_____________________________________

Subtotal

 

Shipping ($5.00 or $7.00)

 

Total Enclosed

 

Allow 2-6 weeks for deliver depending on whether items are in stock.