USS AMERICA ORDER FORM      
         
  ITEM COST QNTY EXT
  Zippo This item OUT OF STOCK 24.95  
  Coin
  Coin Case
  Patch
  Flag Case (this price includes shipping)
         
  Sub-Total    
       
  Florida Resident Enter Y or N  
  FL. Tax  
  Shipping 4.60  
  Total amount of your order    
         
Name    
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Florida residents, the 6.5% sales tax is added.      
If ordering the Flag Case, enter plaque incription below.
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  and Mail this completed form with your check to:      
         
  USS America Museum Foundation      
  10 Summit Avenue      
  Butler NJ 07405      
         
  Please allow 2 to 3 weeks for delivery.      
  Thank you for your order and support.      

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