GoldWing Rings-Reorder form

Reorder Form

Bill To:

Ship To: (if different from billing address)

How Many	Name	Price	Total
Men ___ Ladies ___	Gold Wing & GWRRA Rings GW-1___ GW-2___ GW-3___ GW-4___ GW-5___ GW-6___ GW-7___ GW-8___ GW-9___ GW-10___ GW-11___ GW-12___ Ring Size Men ____ Ring Size Ladies ____	$20.00 per Ring
Men ___ Ladies ___	Military Rings Military-1___ Military-2___ Military-3___ Military-4___ Military-5___ Military-6___ Military-7___ Military-8___ Military-9___ Military-10___ Ring Size Men ____ Ring Size Ladies ____	$20.00 per Ring
Men ___ Ladies ___	Specialty Design Rings Sp Design-1___ Sp Design-2___ Sp Design-3___ Sp Design-4___ Sp Design-5___ Sp Design-6___ Sp Design-7___ Sp Design-8___ Sp Design-9___ Sp Design-10___ Sp Design-11___ Sp Design-12___ Sp Design-13___ Sp Design-14___ Sp Design-15___ Sp Design-16___ Sp Design-17___ Ring Size Men ____ Ring Size Ladies ____	$20.00 per Ring

Sub Total:
Please Enter Total Payment:

Print this form out and fill it in, along with each old ring and Mail it with your Check or MO to:

Jim Bullock
4 Pittman Circle
Brunswick, Georgia 31520

As soon as we recieve your Check or Money Order your order will be Mailed to you by first class US Mail