DENNIS P. RANDO CADET HUMANITARIAN FUND

ORDER FORM

 

Make Checks Payable to "Rando Fund" and Mail With Order Form to Robert L. Caggiano, CPA, P.O. Box 1676, West Chatham, MA 02669.

(1)

Quantity

Type Item*

Cost Per Item

Extension Cost

 

 

Standard Chair

$325

$

 
 

Rocker

$325

$

 
 

Lamp

$195

$

 
   

TOTAL

$

 

*All Items have the USAFA seal.

(2)

PERSONALIZATION – Exactly as it should appear - 30 Spaces maximum per line

1 ST Line

2nd Line

3rd Line

 

Item Extension Cost Total from (2) above $

Personalization – 1st line: Cost $25 $

Personalization – 2nd line: Cost $10 $

Personalization – 3rd line: Cost $10 $

Subtotal $

Sales Tax – (Massachusetts Deliveries Only) 5% of Subtotal $

Shipping and Handling $35.00 Per Item - One type item only $

Total – Payment Due With Order $

(3)

Your Name & Address Ship To Address

Name:

Name:

Street

Street:

City, State & Zip

City, State & Zip

Day time Telephone

Day time Telephone

E-mail address

E-mail address

(4) There is an extra charge for rush – Normal Time 4 –6 weeks from receipt of order.

Key Date – You need to receive the Item by: / / Allow 4-6 weeks from receipt of order to day of shipment. Order must be received within 5 weeks of your Key Date. Shipping price only for Continental USA.