SEAPLANE PILOTS ASSOCIATION
ORDER FORM


SPA Membership No.                          Exp. Date         

Name                                                          

Address                                                       

City                       State            Zip               

Daytime Telephone No.                                         

Enclosed is my:       Check     Money Order
                      VISA      MasterCard
                      American Express

Account No.                                 Exp. Date         
Quantity Item Size Color Price TOTAL
      
      
      
      
      
      
      
Subtotal 
Shipping & Handling - see chart below 
Overseas Shipping & Handling - additional $10 
MD Residents - add 7% state sales tax 
Total (US $) 
NOTE: Please allow 2 - 4 weeks for delivery.

Base Shipping & Handling Charges
Merchandise Total      S & H Charge
Up to $5.00                 $1.50
$5.01 to $10.00             $3.00
$10.01 to $20.00            $4.00
$20.00 to $50.00            $5.00
over $50.00                 $8.00

3859 Laird Blvd., Lakeland, FL 33811
Tel: (863) 701-7979 Fax: (863) 701-7588