~~FULLER AND JOHNSON CO. ORDER FORM
NAME:
STREET ADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER/EMAIL:
DONATION* Total_______
DONATIONS* FOR F&J GEAR:
DECALS (2 FOR $10)
Quantity ______ Total_______
COFFEE CUP ($15)
Quantity ______ Total_______
KEY CHAIN ($5):
Quantity ______ Total_______
TOTE BAG ($25):
Quantity ______ Total_______
POLO SHIRT ($15)
Quantity ______ Total_______
T-SHIRTS (BACK LOGO) ($15)
Quantity ______ Total_______
T-SHIRTS (FRONT LOGO) ($10)
Quantity ______ Total_______
ENGINE LOOKUP:
Owner:
Serial Number:
Horsepower:
Model:
Quantity ______ Total_______
Checks payable to: Fuller and Johnson Co., %Liz Johnson, 353 Blue Heron Drive, Winter Park Florida 32789 OR: PayPal: FullerandJohnson@hotmail.com. Questions: Call Liz Johnson at 407-947-2579 or email: FullerandJohnson@hotmail.com (*TAX DEDUCTABLE, A RECEIPT WILL BE SENT TO YOU)