FFCA Commemorative 2003 Order Form
~ For FFCA Members Only ~

Membership #
Name

Mailing Address
City
State/Province	Zip/Postal Code
Home Phone

---

TO ORDER:   select from the following 

	For ONE Set	For TWO Sets
Order Single Mayan-Aztec Clock	Select Glaze 1 Bronze Green Terra Turquoise Old Ivory Gun Metal	Select Glaze 2 Bronze Green Terra Turquoise Old Ivory Gun Metal	Price $40 $80 $40/each
Order Set of 3 Mayan-Aztec Clocks	Select Glaze 1 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 2 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 3 Bronze Green Terra Turquoise Old Ivory Gun Metal	Select Glaze 1 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 2 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 3 Bronze Green Terra Turquoise Old Ivory Gun Metal	Price $100 $200 $100/ 3 Set
Order Set of 4 Mayan-Aztec Clocks	Select Glaze 1 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 2 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 3 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 4 Bronze Green Terra Turquoise Old Ivory Gun Metal	Select Glaze 1 Bronze Green Terra Turquoise Old Ivory Gun Metal Select Glaze 2 Bronze Green Terra Turquoise Old Ivory Gun Metal   Select Glaze 3 Bronze Green Terra Turquoise Old Ivory Gun Metal   Select Glaze 4 Bronze Green Terra Turquoise Old Ivory Gun Metal	Price $130 $260 $130/ 4 Set
Will Pick up at Reunion 2003		PLEASE SHIP (after October 2003)

---

Shipping/Handling	TOTAL
Up to $50 = $3.85	Shipping/Handling
$51 to $100 = $7.85	TOTAL DUE
$101 to $260 = $9.85

---

Method of Payment	Method of Payment Check Money Order Cashier Check Charge to my VISA Charge to my MasterCard
Check Number	Check Amount
	VISA       MasterCard
	Please charge  to my credit card
Credit Card Number
Expiration
V-Code Number		V-code is the last 3 digits after your card number on the back side of your card just above your signature
Signature

---

Complete form, print, and mail along with your check/money order to:

FFCA, PO Box 32571, Oklahoma City, OK 73123-0771

Make Check Payable to: FFCA