Your Name
è
Street Address
è
City, State, Zip
è
Email Address
è
Telephone No.
è
Fly Pattern and Color Preference, if any.
(e.g., NY Giants, Irish Flag, etc.)
Size
Price Each
Qty
Total
Shipping & Handling
Order Amount
S&H
$ 0 - $ 15.00
$ 2.95
$ 15.01 - $ 30.00
$3.95
$ 30.01 - $ 60.00
$5.95
$ 60.01 - $ 100.00
$7.95
Over $ 100.00
$8.95
Merchandise
Total
Shipping &
Handling
Total
Amount
Make check payable to:
Lee Weil, 57 Cobalt Lane, Westbury, NY 11590