Name:__________________________________________________________________
Address: ________________________________________________________________
City: _______________________ State: ________________________ Zip: __________
Phone: (______) - ________ - __________ Fax: (______) - ______ - ________________
T-SHIRTS
Size Price Quantity Ordered Total Due
Medium $14.95 each_________________________________
Large $14.95 each_________________________________
X-Large $14.95 each_________________________________
XX-Large $16.95 each_________________________________
TOTAL AMOUNT DUE_____________________________$_________
Please make your check or money order made paybable to the NCAPD and mail to:
NCAPD Store
P.O. Box 11810
Jacksonville, Fl
32239-1810