WINGS-Pensacola, Inc. 409 South Navy Blvd Pensacola, FL 32507 1-850-332-6101 FAX: 1-850-332-6155 (24 Hours) Ordered by Charge to Name: ___________________________ __VISA __Mastercard __Discover Address: ________________________ Account # __________________________ ______________________________ Expiration Date: ___________________ Card I.D.#(on back) ___ ___ ___ City: ___________________________ Signature: _________________________ State: _______ Zip: ___________ Daytime Phone: (_____) ____________________ eMail:___________________________ Qty Item # Size Description Unit Price Total ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ ___ _______ _____ __________________________________ __________ __________ 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.