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 to the address at the bottom of the form. When ordering embroidered items, specify the item color,   dolphin color and size were applicable and PLEASE remember to give us your email address and 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

Shipping and Handling:

VIRGINIA RESIDENTS ADD 5% SALES TAX

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) The Submarine Ship's Store  301 Whitworth Drive,  Culpeper, VA 22701-2009 Voice (540)727-7612 * Fax (540)727-7613