FLAMINGO FLOCKING ORDER FORM 

 

 

NAME: ______________________________________Phone____________________

 

ADDRESS_____________________________________________________________

 

Purchase:

                Flamingo Insurance           $5.00   +     $21.00 =       ____________

                 (optional $5 = Flocker revealed)

                          

                 Flamingo Removal             $5.00   +     $21.00  =       ____________

                  (optional $5 = Flocker revealed)   

                

                 Flock Your Friends      _________ X  $21.00 =       ____________

                 (2+ friends =  flocker revealed)                                                                         

                                                                              DONATION =    ____________

 

                                                                                       TOTAL =    ____________

 

 

Friend Flocking __________________________________Phone____________________

 

ADDRESS ________________________________________________________________

 

 

Friend Flocking __________________________________Phone____________________

 

ADDRESS ________________________________________________________________

 

 

Friend Flocking __________________________________Phone____________________

 

ADDRESS _________________________________________________________________________

 

Flocking should be Fun & Friendly, to people with a sense of humor!

 

Mail order form and money to the above below

Check or money orders accepted, payable to:

DSAVP

P.O. Box 1237, Yorktown, VA 23692

Need more information or have questions  contact

Wendy (757) 890-3013 or Kim (757) 234-0895