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| | |PRICE | |
| QTY | DESCRIPTION (INCLUDE SIZE AND COLOR OF T-SHIRTS) |EACH |TOTAL |
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TOTAL | |
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NAME_____________________________________________ DATE____________________
ADDRESS___________________________________________________________________
CITY______________________________________________STATE____ZIP____________
PHONE ( )_____________________________________AFRMA MEMBER? Y N
E-MAIL____________________________________________________________________
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Make Money Order or Cashier’s Check out to: Mail this form with payment to: (No personal checks) |
AFRMA AFRMA 9230 64th Street Riverside, CA 92509-5924 |