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Wing Pai Commemorative Custom Rings $150 / Shipping and Insurance included

Download Order form and email to
gmgrago@wingpai.org

WING PAI RING ORDER FORM

CUSTOMER CONTACT INFORMATION

  • Full Name: __________________________________

  • Street Address: _______________________________

  • City: ____________________ State: _________


  • Zip Code: ____________


  • Phone Number: ________________________________


  • Email Address: _______________________________


2. PAYMENT METHOD SELECTOR
(Please check or place an "X" inside the brackets for your choice)

  • ( ) SELECT FOR CHECK PAYMENT

    • Mail payment to: GM David Grago

    • Mailing Address: 1116 N Osage Ave, Claremore, OK 74017


  • ( ) SELECT FOR PAYPAL PAYMENT


3. RING SIZE & AUTHORIZATION

  • Required Ring Size: _________________



  • Customer Signature: ______________________________



PRICE: $150.00

TERMS: NO REFUNDS.

YOU ARE RESPONSIBLE FOR LISTING THE CORRECT RING SIZE.