Mail Order Form

Print out this page, fill out the form and mail it with your 
check or money order payable to: Victorious America, Ltd.

Mail payment to:  Victorious America, Ltd. 
P.O. Box 260027  
Bellerose, NY 11426-0027

 

Qty Description Options Price  Total
  Victory Cap    $17.95  
  White Victory T-Shirt Size: $16.95  
  Navy Victory T-Shirt Size: $16.95  

Shipping 
Add $4.50  to orders up to $50.00 
$6.00 Shipping for orders over $50.00

 

Sales Tax
8.625% for New York State residents

  

Total: 

 

 

  Customer: Ship To:
Name:    
Address:

 

    
Phone:    
Email:    

Thank you for your order!
It is a pleasure doing business with you.

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