FFCA Commemorative 2004 Order Form
~ For FFCA Members Only ~

Orders will not ship until October 2004 and will be shipped in the order received and be limited only by product availability.


 Membership #  
 Name 
Mailing Address
City
State/Province        Zip/Postal Code
Home Phone     

TO ORDER:   select from the following 

 

Order Single  10th Anniversary Commemorative

$40/each

Order Set of 3 10th Anniversary Commemorative

  

$100/ 3 Set

Order Set of 4 10th Anniversary Commemorative

    $130/ 4 Set

  Will Pick up at Reunion 2004

    PLEASE SHIP (after October 2004)

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  
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

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A national non-profit organization dedicated to the appreciation, preservation, and promotion of Frankoma pottery as a collectible.