| New York State Association of Fire Chaplains,
Inc. SUPPLY ORDER FORM (September 1, 2020) |
| |
|
|
|
|
|
|
|
|
| Please
ship the following NYSAFC, Inc., supplies to: |
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| Name:
_____________________________________________________ |
|
|
|
|
| |
|
|
|
|
|
|
|
|
| ADDRESS:
_________________________________________________ |
|
|
|
|
| |
|
|
|
|
|
|
|
|
| CITY/ST/ZIP:
________________________________________________ |
|
|
|
|
| |
|
|
|
|
|
|
|
|
| Item Description |
PRICE |
|
|
QUANTITY |
|
TOTAL |
|
|
| Training Materials: |
|
|
|
|
|
|
|
|
| DVD Training Series (3 part) |
$25.00 |
|
|
|
= |
|
|
|
| Fire Chaplain Embroidered
Hats: |
|
|
|
|
|
|
|
|
| White Ball Cap (w/logo) "Fire
Chaplain" |
$20.00 |
|
|
|
= |
|
|
|
| White Ball Cap (plain) "Fire
Chaplain" |
$15.00 |
|
|
|
= |
|
|
|
| Blue Ball Cap (w/logo) "Chaplain" |
$20.00 |
|
|
|
= |
|
|
|
| Blue Ball Cap (plain) "Chaplain" |
$15.00 |
|
|
|
= |
|
|
|
| Blue Knit Winter Hat |
$10.00 |
|
|
|
= |
|
|
|
| Black Skull Cap |
$12.00 |
|
|
|
= |
|
|
|
| Red NYSAFC Polo Golf
Shirt: |
|
|
|
|
|
|
|
|
| With Pocket -XXLarge |
$20.00 |
|
|
|
= |
|
|
|
| No Pocket - Medium |
$15.00 |
|
|
|
= |
|
|
|
| No Pocket - Large |
$15.00 |
|
|
|
= |
|
|
|
| No Pocket - XLarge |
$15.00 |
|
|
|
= |
|
|
|
| No Pocket - XXLarge |
$20.00 |
|
|
|
= |
|
|
|
| No Pocket - XXXLarge |
$20.00 |
|
|
|
= |
|
|
|
| Men's
Light Blue NYS Assoc Dress Shirt with Pocket |
|
|
|
|
|
|
|
| Long Sleeve - Large |
$30.00 |
|
|
|
= |
|
|
|
| Long Sleeve XXLarge |
$34.00 |
|
|
|
= |
|
|
|
| Short Sleeve - Large |
$28.00 |
|
|
|
= |
|
|
|
| Ladies
Light Blue NYS Assoc. Dress Shirt - No Pocket |
|
|
|
|
|
|
| Long Sleeve - XLarge |
$28.00 |
|
|
|
= |
|
|
|
| Steel Grey Mock Turtleneck
Shirt with logo |
|
|
|
|
|
|
|
|
| Long Sleeve - Small |
$30.00 |
|
|
|
= |
|
|
|
| "The Firefighter's
Bible" (with prayers) |
$20.00 |
|
|
|
= |
|
|
|
| NYSAFC Folio-Notebook
(8"X10") |
$15.00 |
|
|
|
= |
|
|
|
| NYSAFC LOGO ITEMS: Members
Only |
|
|
|
|
|
|
|
|
| NYSAFC Member Badge (New 3" size) |
$75.00 |
|
|
|
= |
|
|
|
| NYSAFC Helmet/Window Decal |
$2.00 |
|
|
|
= |
|
|
|
| NYSAFC (Old Logo) Helmet/Window Decal |
$1.00 |
|
|
|
= |
|
|
|
| NYSAFC (Old Logo) Triangular Helmet Decal |
$1.00 |
|
|
|
= |
|
|
|
| NYSAFC Large Lapel Pin |
$4.00 |
|
|
|
= |
|
|
|
| NYSAFC Small Lapel Pin |
$3.00 |
|
|
|
= |
|
|
|
| NYSAFC (Old Logo) Small Lapel Pin |
$2.00 |
|
|
|
= |
|
|
|
| NYSAFC Logo Shoulder Patch |
$4.00 |
|
|
|
= |
|
|
|
| NYSAFC (Old Logo) Shoulder Patch |
$3.00 |
|
|
|
= |
|
|
|
| Richard Holst Chaplains Bag (50th Ann.) |
$35.00 |
|
|
|
= |
|
|
|
| |
|
|
|
|
|
|
|
|
| No
Shipping charge if order placed and delivered |
|
|
Sub Total |
|
|
|
|
|
at Conference otherwise |
Shipping
Add 20% to order |
|
= |
|
|
|
| Received by Supply Officer |
__/__/__ |
|
|
YOUR ORDER COST |
= |
|
|
|
| Shipped by Supply Officer |
__/__/__ |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| If
Paying for your order using PayPal, please email this form to:
LeonVanWie@gmail.com |
|
|
|
| Please
Make Check or Money Order Payable (in US Funds) To:"NYSAFC, Inc." |
|
|
|
|
| Mail this order form and check to:
NYSAFC, Inc, C/O Chap. VanWie, PO Box
777, Brownville, NY 13615 |
|
|
| |
|
|
|
|
|
|
|
|
