Please provide the following information to complete
your order...........
Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Nautical Wear Selection
Club House Jacket
Fairway Vest
Schooner Jacket
Pique Polo Shirt
Denim Shirt
Tee Shirt
Sweatshirt
Color Choice for Pique-Tee-or Sweatshirt
White
Natural
Yellow Haze
Color Choice for Club House Jackets
Black/Black
Khaki/Navy
Navy/Khaki
Olive/Khaki
Red/Navy
Color Choice for Fairway Vest
Black/Stone
Navy/Stone
Stone/Navy
Medium Blue/Navy
Color Choice for Schooner Jacket
Black
Forest
Navy
Red
True Royal
Denim Shirt
Denim Blue
Size
Adult Small
Adult Medium
Adult Large
Adult X Large
Quantity
0
1
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11
12
Embroidery Lighthouse Selection Number
0
1
2
3
4
5
6
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8
9
10
11
12
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14
15
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17
18
19
20
Embroidery Boat Selection Number
0
1
2
3
4
5
6
7
8
9
11
12
13
14
15
16
17
18
19
20
Boat Color Graphic Selection Number
0
1
2
3
4
5
6
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8
9
10
11
12
13
14
15
16
17
18
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20
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22
23
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25
26
27
28
Lighthouse Color Graphic Selection Number
0
1
2
3
4
5
6
7
8
9
11
12
13
14
15
16
17
18
19
20
21
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67
