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Orderformulier

HARING POLOSHIRT

NAME: _______________________________________    Tel. No.: (______) _______________

ADRESS: ___________________________________________________________________

                  ___________________________________________________________________

Men’s sizes:

XXL   XL    L    M (circle right size)                                   Quantity: ____  at $26.00 per shirt

Ladies sizes:

XXL(16/18)    XL(12/14)     L(8/10)  (circle right size)          Quantity: ____  at $26.00 per shirt          

TOTAL shirts ___ at $26.00 per shirt                    : $________     

Postage/shipping excluded, add $2.50 per shirt    : $ ________

                                                                                                GRAND TOTAL: $ ________

All orders will be mailed on October 1, 2003, no exceptions. No orders taken after September 21st,
no exceptions.  Checks will be posted after mailing of shirts. Only forms that have been completely
filled out will be processed, no exceptions. Shirts are of Hanes quality, white cotton pique, polo-style
with unique colored embroidered Haringeters design on left breast.

Make check out to N.A.S.F. and mail together with form to:       Viswijf

                                                                                                                  5010 Perignon Way

                                                                                                                  CORAL SPRINGS, FL 33067

                                                                                                                  Tel.: (954) 753-1974

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