WINGS-Pensacola, Inc.
3470 Barrancas Ave. Dept. 0507
Pensacola, FL 32507
1-800-642-WINGs (9464)
FAX: 1-850-455-1395 (24 Hours)
Ordered by                          Charge to

Name: ___________________________   __VISA  __Mastercard  __Discover

Address: ________________________   Account # __________________________

   ______________________________   Expiration Date: ___________________

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City: ___________________________   Signature: _________________________

State: _______   Zip: ___________   Daytime Phone: (_____) ____________________

eMail:___________________________


Qty  Item #   Size    Description                           Unit Price    Total
                        
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                          If shipped to Florida, add 7.5% Sales Tax  __________

Shipping is normally by UPS or US Postal        Shipping; Packaging  __________
Service. (usually $8.95 or less.)
 FEDEX and other special handling is extra.                  Total  ___________
We will fill in shipping based on weight and
distance.  Thank You very much for your business.