FCM Mail In Order Form
Prices are per item in US funds
Item Price Quantity Size Amount
Bumper Sticker
$3.00 (           )   $_______.____ 
Hat
$15.00 (           )   $_______.____ 
T-shirt
(note #1, 2 or 3)
$15.00 (           )     $_______.____ 
   
   
Windbreaker

$50.00 (           )     $_______.____ 
   
   
S & H free  
If you would like to make a donation Donation $_______.____
  Subtotal  
Make Checks or money orders payable to: FCM Total Amount Enclosed $_______.____ 
additional Comments

 

Mail to:  FCM c/o Allen Goff  2100 N. Carrolton Dr. Muncie, IN 47304-9199
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