National Black Police Association Store

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DOUBLE CLICK ON PICTURE TO GET A FULL VIEW OF ARTICLE

Caps     $15.00 plus postage/handling  $5.00 = $20.00
Shirts    $25.00                                    $5.00= $30.00
Caps   -   one size fits all
Shirts     -     Large   X- Large   XX-Large    XXX-Large 
shirts Colors are:  yellow, light green, blue, black
caps Colors are: sand, blue, and green

Last Name                                                     First Name                                                             MI                 

Address                                                                                                                                                                  

City                                                        State                                                    Zip Code                                 

Telephone: Day (      )                               Evening (     )                                    Fax (      )                             

NBPA SHIRTS & HATS
Check the appropriate boxes and indicate the number of additional Orders

Shirts

color

Number

  Amount

Large

______

______
 @ $25

$ ______

X-large

______
______
 @ $25

$ ______

XX-Large

______
______
 @ $25

$ ______
xxx-LARGE
______
______
 @ $25

$ ______

color

NUMBER

NBPA hat

______
______
 @ $15

$ ______
PAYMENT: PLUS $5.00 POSTAGE & HANDLING

Total Enclosed $ ______________

(Payable to NBPA) (  ) Check

 (  ) Money Order

Credit Card:

(  ) Amex

 (  ) Visa

(  ) MasterCard

Name of card holder (print)  _________________________________________________

Signature of card holder ___________________________________________________

Card number ____________________________________Expiration Date_____________