COFFEE MUG                                           _________   @  $6.00 EA   plus $6.00  S & H     $ ____________

 
DECAL                                                      __________ @   $ 2.00 EA plus $ .40 S & H       $ ___________

SHIPPING INSURANCE (IF DESIRED)                                                                                                           $ 1.30

                                                                                                                             SUB TOTAL                              $ ___________                                                                                                                                                            
                                                                                                                                                                                                            
                                                                                                                             TOTAL INCLUDING S&H     $___________


 Shipping and handling charges on mulitple items, COFFEE MUGS, DECALS and HATS can be shipped  without additional postage.

"IF PAYING BY CHECK, MAKE CHECK PAYABLE  TO USS MAURY AGS16 ASSOCIATION"

"IF PAYING BY US POSTAL SERVICE MONEY ORDER, MAKE PAYABLE TO JIM JOHNSON"



Dues:  I wish to include my Annual Dues with this order, please credit my Membership for the following:

             (        )   $5.00 dues for  2008   (         )  $5.00 dues for  2009   (          )  added to the above order.
              Note:  payment of dues is not a requirement to place an order but is added here as a convenience for one stop shopping only...



Send this form to:
 Jim Johnson
 104 E. Huisache St.
 South Padre Island, TX   78597

By Phone:  956-495-4442

By E-mail: spipolarbare@sbcglobal.net