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ORDER FORM

Name __________________________________________

Mailing address: __________________________________________

                          __________________________________________

Please mail me the following (enter the number desired):

Holder and American Flag and RVF flag ($20 each)  _______________

State flag (OR, WA or CA only - $5 each)  ______________ Specify State

Mail with check  to:

Ken Calderwood
16814 Atkinson Ave.
Torrance, CA 90504