CONTACT INFORMATION
REGISTRATION TO FLY or VOLUNTEER
(Please print this form and mail to either address listed below). Thank you.
NAME
BUSINESS OR ORGANIZATION NAME
SHIPPING or MAILING ADDRESS
CITY STATE ZIP CODE
CONTACT
NUMBERS
EMAIL ADDRESS WEBSITE
ORDERING MADE SIMPLE
FLY PINK KITE & TSHIRT (SET) $ 25.00 TOTAL AMOUNT SET(S) $_________
TSHIRT (CIRCLE SIZE) SIZE S M L XL 2X 3X 4X
QUANTITY __ __ __ __ __ __ __
(CIRCLE) ADULT YOUTH ___ __ __ __ ___ ___ ___
--------------------------------------------------------------------------------------------------------------------------------------------
BUY INDIVIDUAL KITE OR TSHIRT
KITE(S) (only) QUANTITY $12.00ea TOTAL AMOUNT KITE(S ) $__________
TSHIRT(S) (only)
SELECT AND CIRCLE: Size & Quantity (write in)
TSHIRT ADULT TSHIRT YOUTH
SIZE S M L XL 2X 3X 4X SIZE S M L XL 2X 3X 4X
QUANTITY ___ ___ __ ___ ___ ___ ___ QUANTITY ___ ___ __ ___ ___ ___ ___
QUAT TOTAL ___ ___ __ ___ ___ ___ ___ QUAT TOTAL ___ ___ __ ___ ___ ___ ___
TOTAL AMOUNT TSHIRT(S) $ _____________ TOTAL AMOUNT TSHIRT(S) $ ______________
*******SHIPPING PER ANY TWO ITEMS IS $5.95 PLEASE ADD AN ADDITIONAL $ .75 PER ITEM*********
Please allow 5-7 business days for delivery. No returns or refunds on kites or t-shirts.
PLEASE SEE FREE SHIPPING INFORMATION BELOW
TOTAL AMOUNT ENCLOSED $ ________
Please make payments to FWA Freedom Walk-America Corp. Method of payments: money order, personal check, or cashier check. NO CASH ACCEPTED.
PLEASE FORWARD PAYMENT TO:
FWA FLY PINK
8310 S Kedzie
Chicago, IL 60652
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$AVE on ShippingFREE Delivery AVAILABLE in Chicago,IL and surrounding areas
Houston, TX within 10 mile radius
Call 1 800 731-2076
FLY PINK is sponsored by FWA Freedom Walk-America Corp.
(501 c 3). Your donations, giving, and pledge amounts are tax deductible.
FLY PINK $DOLLAR DAYS
MAKE PAYMENT TO
FREE SHIPPING
for an order $200 or more !
