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Cost :: $120.00
Shipping :: $15.00
Fundraiser Online Order Form
Customer Information
First Name ::
Last Name ::
Shipping Address ::
Shipping City ::
Shipping State ::
-Select State-
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Shipping Zip ::
Phone ::
tip
Email ::
NOTE
:: If you are buying this for a Christmas gift and you don't want it sent to your home, then make sure you use the desired shipping address.
Order Information
Quantity ::
1
2
Payment Type ::
-Select Payment-
Credit Card
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All fields are required
The system is currently disable. Please contact us if you need additional information.
Α Φ Ω :: Δ Chapter :: Section 69 :: Region IV
Want more information?
fundraiser@aphio-delta.org
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Delta Chapter, Α Φ Ω
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