ORDER FORM

To: Jenny Brahney
1 - 3430 St. Anne Street
Port Coquitlam, BC
V3B 4G4 Canada		 Your name....................................
Address.......................................
....................................................
................ ....................................
Tel.:..............................................
Your e-mail: ..................................
Date......................

"SAIL AWAY"
Fill in names, comapany names, logos, assocoations, clubs, ect., in the spaces provided:

1. Main Flag...........................................

2. Banner on boat...................................

3. Crest ................................................

If you require additional names please indicate:

On  Patches:                                    On small flags:

Please include cheque or money-order for US$ 80.-. (Shipping and handling in Canada and the USA included)
Your picture will arrive within three weeks, ready for framing or laminating. Thank you.

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