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DIVCO CLUB OF AMERICA

COLLECTIBLES ORDER FORM:

QUANTITY	DESCRIPTION:	Size, Color or Style	PRICE EA.	TOTAL:







	---Shipping charges are usually $6 for the first item, and $2 for each additional item ordered. Clocks are shipped directly from the factory and cannot be combined with other items for shipping.	NOTE: Pins & Patches: $2.00 S&H or free w/ add'l items.	Total Shipping:
			Total Order:

Please send to: Name:_____________________________

Address:_________________________________________
________________________________________________

City/State/Zip:_____________________________________

To order by personal check or money order, please print a copy of this form and MAIL to: Divco Club of America, PO Box 1142, Kingston, WA 98346 THANK YOU FOR YOUR ORDER! CLICK HERE TO ORDER ONLINE

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