SUBMARINE SHIP'S STORE SUBMARINE ART PRINT ORDER FORM

  Please print & fill out this order form. Fax it, if paying by credit card, to our Toll Free Dedicated 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 shipped via USPS Priority Mail.  PLEASE remember to give us your email address and/or a daytime 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: _______________________________
 Daytime Phone #: _______________________________
Email: ______________________________________
 Fax #: ________________________________________

Basic  Print
Submarine Data Prints
Boat Name: Boat Name:
11" X 17" Prints ____ @ $50.00 each + $5.95 Priority Mail S&H
 11" X 17" Prints ____ @ $50.00 + $5.95 Priority Mail S&H
13" X 19" Prints ____ @ $55.00 each + $5.95 Priority Mail S&H 13" X 19" Prints ____ @ $55.00 + $5.95 Priority Mail S&H

INFORMATION BELOW FOR PERSONALIZATION ON YOUR PRINT IF DESIRED
Name & Rate/Rank:___________________________________________________________
Circle One:                   Silver Dolphins                       Gold Dolphins
Dates Onboard:_______________________________________________________________

FLORIDA RESIDENTS ADD 7% 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)
 
Mail To:
The Submarine Ship's Store  521 Beaulieu Loop, The Villages, FL 32162-1033
Voice (888) 349-1756 * Fax (800) 227-3099