Melvin Jones Memorial Trading Pin Order Form

Please print form and include with order.

Item Quanity Cost Total $
Pins ___________ $5.00
$ ___________
Packaging & Postage
(1 to 3 pins)
___________ $2.00 $ ___________

Total enclosed (US Funds only)
$ ___________
.
Mail To. Please Print or Type

Name ________________________________________
Street Address ________________________________________
City, State, Mail Code ________________________________________
Country ________________________________________

Enclose check made out to the "Melvin Jones Memorial" and mail to the following address. . (US Funds Only)

Melvin Jones Memorial
P. O. Box 163
Fort Thomas, AZ 85536

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