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Please print and complete this order form:

PPFPD Items
Item Name Price Quantity Sub-total
Guns & Hoses CD $10.00 _____ $________
Long Sleeve Black Shirt $20.00 _____ $________
Black Mock Turtleneck $25.00 _____ $________
PPFPD Wrist band $2.00 _____ $________
Short Sleeve Gray Tee Shirt $15.00 _____ $________
Band Patch $7.00 _____ $________
Baseball cap $15.00 _____ $________
Band Pin $6.00 _____ $________
Shipping: $ 10.00
Total: $________


Shipping Information

Your Name: _____________________________
Your Phone Number: _____________________
Shipping Address: _______________________________________________
Shipping City, State, Zip: _______________________________________________


Payment Information

Make checks payable to
Philadelphia Police & Fire Pipes & Drums
8501 State Road
Philadelphia, PA 19136

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