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Call, e-mail or FAX Jennifer with your orders,
Monday through Friday, 9 a.m. to 3 p.m. EST.
E-Mail:  locotzinc@embarqmail.com  TELEPHONE: 239-283-5599
FAX:239-283-0532   Toll-Free 1-866-456-2687
 3/4 Sleeve Ball Jersey from  Sanibel Biological Supply

 _____ # of  3/4 Sleeve Ball Jersey    @  $24.95 = $ _____
SIZES:    MED     LARGE     X LARGE  (circle one)

 _____ # of  3/4 Sleeve Ball Jersey 
SIZES:    XX LARGE                          @  $26.95 = $ _____


                         [shipping and handling fee ...]        $4.95
   
                 Florida Residents add 6% Sales Tax:     _____

                                                            TOTAL = $ _____


       ship to:      name: _____________________________

       address: ____________________________________

                         ____________________________________

                          ____________________________________

                        (MASTERCARD or VISA only)
Credit Card # ______________________ exp date ___/___

Name (as it appears on card) ________________________

Card Billing Address:
(SAME as shipping address above?) ____ Yes

   ___________________________

   ___________________________

   ___________________________

Make check to:  Sanibel Biological Supply
Send Check or Money Order :

Sanibel Biological Supply
5576 Doug Taylor Circle
St. James City, FL 33956