Please print out this form and mail it along with a check or money order made out to USS Magoffin Association
and mail the form to:
Ray Furlow
USS Magoffin Association
2525 Cobden School Rd
Cobden IL 62920
Name__________________________________________________________
Street Address___________________________________________________ City______________________________State_____ Zip__________________ Day Time Phone ____________________________________Evening Phone _____________________________________
E-Mail___________________________________________
| Item name | Size | Quanity | Subtotal | |
| Magoffin Ball Caps @ $15.00 ea. | ||||
| Magoffin Lapel Pins @ $5.00 ea. | ||||
| Magoffin Tee Shirts @$15.00 ea. | Size Small | |||
| Magoffin Tee Shirts @$15.00 ea. | Size Medium | |||
| Magoffin Tee Shirts @$15.00 ea. | Size Large | |||
| Magoffin Tee Shirts @$15.00 ea. | Size Extra Large | |||
| Magoffin Tee Shirts @$15.00 ea. | Size Extra, Extra Large | |||
| Magoffin Coffee Mugs @ $10.00 ea. | ||||
| Magoffin Patch @ $5.00 ea. | ||||
| Magoffin Can Coolers @ $3.00 ea. | Circle the color(s) you want - Red - green - Black - Light blue - Navy Blue | |||
| Magoffin Letter openers @$2.00 ea. | ||||
| Colorado Reunion Pin @ $4.00 ea. | ||||
| California Reunion Pin @ $4.00 ea. | ||||
| Norfolk Reunion Pin @ $4.00 ea. | ||||
| Shipping Charges | Up to $25.00 order - add $7.00 |
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| Other | $25.01 to $50.00 order - add $9.00 |
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| Other | $50.01 to $75.00 order - add $12.00 |
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| Other | $75.01 to $100.00+ order - add $16.00 |
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| Total |