Rakkasan Hat Order Form

1. Rakkasan Hat Order Form Over the back it will say: 187th inf regt Golden Rakkasans Number of hats___ at $12.00 each Name:__________________________ Address:________________________ ________________________ Phone:_________________________ Email:_________________________ If paying with Credit Card CC#_____________________exp.____ CCV#_____(on back of card) MC, VISA, AMEX ONLY (circle one) Make Checks Payable to: 1-187 FRG Fund Mail orders with checks to: Karla Ayala 4975 B Harrison St Ft Campbell, KY 42223 DO NOT SEND CASH IN THE MAIL! If purchasing by Credit Card please use US Postal Service to mail you order to: Peak Promotions 4983-A Harrison Street Fort Campbell, KY 42223 Attn: Rakkasans FAX to : 270-439-9283 We accept MC, Visa, AMX only. Admin Only Date Rec._______ Amount_________ Check # or App. Code _________________ It is the responsibility of the organization to ship and deliver the product to the consumers. ETA approx 31/2 weeks after Deadline There may be slight enhancements to the art made during production. This is a custom product and Peak Promotions will not be liable for any Refunds. The organization is responsible for customer service and will decide if exchanges or refunds will be made. The prices quoted are only good through this orders event date…any subsequent orders or less than 24 pieces are subject to additional charges.