Blazer Order Form

 
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     For office use - do not write in this section:


             Date: ____ / ____/ ____                                    Order No: _______________________

             Billing:                         J-2443-777                       0-2443-777                     6-2443-777                         

  DOWNLOAD PRINTABLE ORDER FORM -- Adobe pdf

    DONALD ROSS SOCIETY - Black Blazer with embroidered crest on pocket

    Single breasted blazer, center vent, left breast pocket with 2 flap poskets

                                                   SIZE           STATURE  (Circle One)                       COST                

  100% Worsted Wool Blazer     ______          R      S        L        XL                 $385.00               
** Plus 29.95 Shipping and Handling.

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Please Enter Shipping Information:

NAME:           _________________________________________________________

ADDRESS::   __________________________________________________________

CITY:            __________________________   STATE: _____   ZIP: ____________

PHONE:        __________________________   EMAIL:  _____________________

Please Print and Mail order form
along with check for $414.95 to:          Donald Ross Society
                                                               66 Hillsboro Drive
                                                               West Hartford, CT 06107
               for more information phone  (860) 830-5812