SUBMARINE SHIP'S STORE ORDER FORM
($10.00 Minimum Purchase For Credit Card Orders) 
 
Please print & fill out this order form. Fax it, if paying by credit card, to our Toll Free FAX Order Line (800)227-3099.  If paying by check or money order,  please mail this form along with your payment to the address at the bottom of the form. Orders, other than custom, normally ship within 48 -72 hours.  Note production time for other items on their respective pages.  When ordering embroidered items, specify the item color,   dolphin color and size were applicable and PLEASE remember to give us your email address and/or a telephone number in case there is a question about your order.
We DO NOT distribute this information!

ORDERS SHIPPED TO OTHER THAN A USPS ZIP CODE WILL BE CHARGED ACTUAL SHIPPING CHARGES.


CREDIT CARD BILLING ADDRESS:
MERCHANDISE SHIP TO ADDRESS: (IF DIFFERENT)
Name:  _____________________________________
Name: ________________________________________
Address: ____________________________________
Address: ______________________________________
City: _______________________________________
City: _________________________________________
State: ______      ZIP: _________-________
State: ______      ZIP: _________-________
Contact Name: _______________________________
Contact Daytime Phone #: _______________________________
Contact Email: ______________________________________
Contact Daytime Fax #: _______________________________

QTY. SIZE ITEM DESCRIPTION TOTAL
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VIRGINIA RESIDENTS ADD 5% SALES TAX
IF ORDERING PATCHES AND PAYING BY CHECK, MAKE SURE TO
INCLUDE THE S&H OR THEY WILL NOT BE SHIPPED!
Credit Card #:_______________________________________________  Exp. Date: ___________________
Credit Card 3/4 Digit Security Code: ____________________
Card Holder's Name As Imprinted On Card (PRINT): _____________________________________________
Card Holder's Signature: __________________________________________________________________
(Unsigned credit card orders or orders without the credit card security code  WILL NOT Be Processed)
 
Mail To:
The Submarine Ship's Store  301 Whitworth Drive,  Culpeper, VA 22701-2009
Voice (540)727-7612 * Fax (540)727-7613