GOLDEN FEZ AND RADIO  (WE CARE)  PINS
MAIL IN   ORDER FORM  

 Donations to the Child Care Transportation Fund of
Moslem Temple, Southfield, Michigan

 

  MONEY ORDERS or Your check--  TYPE HERE  when  filling out, then print  this form .

 

 MAILING LABEL  TO SEND PINS TO YOU     

Name

 Address

City

   State  Zip

Phone

 

-

Description

Unit Price

QTY

Extension

1   

     GOLDEN FEZ PIN

$6.00

2 

     RADIO STATION 

$4.00

3 

 SHIPPING COST   $2.00  over 12 pins no shipping cost  we'll   PAY   it  

                                                     TOTALS  HERE    $   

MAIL COMPLETED FORM
TO THE ADDRESS BELOW.

INCLUDE THE MONEY ORDER OR CHECK
 PAYABLE TO     BUCKLES UNLIMITED
                           14230 ELGIN BLVD|
                             OAK PARK, MI 48237..

 DO NOT WRITE IN THIS AREA
DONATION   $______

DATE SENT TO TEMPLE_______________

==============CUT HERE TO USE LABEL=======================

BUCKLES UNLIMITED    <<<<<    USE AS MAILING LABEL TO US
14230 ELGIN BLVD|
OAK PARK, MI 48237