SPACE: ABOVE & BEYOND MERCHANDISE ORDER FORM (F58 MEMBERS) Name: ____________________ Address:____________________ ____________________ ____________________ ____________________ Postcode:___________________ Please send me the following: PATCHES NAME QUANTITY PRICE TOTAL Wildcards £4.00 Angry Angels £4.00 Earth Force Flag £4.00 USMC £4.00 58th Squadron £4.00 USMC Mars £4.00 46th Squadron (Chigbusters) £4.00 USS Saratoga £4.00 Saratoga Medical £4.00 5th Air Wing £4.00 Bacchus £4.00 201st Airlift £4.00 COMING SOON Battle of the Belt £4.00 Tellus Colony £4.00 OTHER ITEMS DESCRIPTION SIZE(S,M,L,XL) PRICE QUANTITY TOTAL Angry Angels T-shirt: Black with small logo on front, arge on back £10.00 SCVN Saratoga Cap: Black baseball cap with "SCVN SARATOGA" lettering in gold £10.00 PLEASE MAKE CHEQUES/P.O'S PAYABLE TO: I. RUKABER - DO NOT SEND CASH Send your completed form and payment to: 3 NORWICH ROAD DICKLEBURGH DISS NORFOLK IP21 4NR TOTAL PAYMENT ENCLOSED: £________ F58 Membership No.___________ All prices include postage and packing. Please allow a minimum of 4 to 6 weeks for delivery as these items have to be imported. Cheques and P.O.'s will not be cashed until your order is despatched. If you would like to be kept informed of the status of your order, please include an S.A.E. or write your evening telephone number here (including STD code)_____________________________