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Order Form

WSFA Order Form



Please Send me: 

ProductPrice EachQuantityTotal
Patches$2.00  

Pins

$7.00
  



  
Final Total   



Name: _______________________________________________

Address: _____________________________________________

City: ____________________  State: _____  Zip Code: ________




Print this form and mail, with check for total amount to:

Wisconsin State Firefighters Association
PO Box 267
Mazomanie, WI 53560