Decal Order Form

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ADCS DECAL ORDER FORM

Send your order and check (ADCS) to:
Peggy Jaeger
17120 E. Redfield Rd.
Gilbert, AZ 85234

Name:
Street:
City:     State    Zip

Small round decal:
#1 Decal-black: Quantity       @ $5
#2 Decal-white: Quantity    @ $5

Larger decal:
#3 Decal-black: Quantity       @ $5
#4 Decal-white: Quantity       @ $5
                                                                   + $1.00      postage & handling

                              Grand Total Enclosed