KNIGHTS TEMPER FROCK COAT ORDER FORM

WAIST MEASURME

WIDTH OF CHEST SLEEVE MEASURMENT

COAT LENGTH WIDTH OF SHOULDER

WIDTH OF BACK

CHEST MEASURMENT

SEAT MEASURMENT

Name: Email:

Phone Number:

Mailing Address:

Title: Commandery: Jurisdiction:

Please indicate all measurement in inches using the guide below.

PLEASE PUT EXACTLY WHAT YOU WANT ON THE PATCH

COMMANDERY: _____________________________________ _____________________________________________ #_______

CITY: _________________________, STATE: ____________

SEND ALL ORDER FORMS TO ROBERTEJONESCOMM31OKC@GMAIL.COM PAYMENT INFORMATION WILL BE EMAILED UPON RECEIPT OF ORDER FORM

PRICE QTY TOTAL

FROCK COAT $180.00 $

SHIPPING $ 14.00 $

INSURANCE $ 4.00 $

PROCESSING FEE PER FROCK $ 10.00 $

GRAND TOTAL $208.00 $

PRICE QTY TOTAL

PATCH $ 6.00 $

SHIPPING $ 1.00 $

PROCESSING FEE PER PATCH

$ 2.00 $_______

GRAND TOTAL $ 9.00 $

PATCH

xxxxxxxxx COMMANDERY #xx

CITY, STATE FILL OUT INFORMATION BELOW, IF YOU ARE ORDERING PATCHES.

FILL OUT INFORMATION BELOW, FOR PATCH INCLUDED WITH FROCK ORDERS