Mail Order Form

Please print this page, fill in the ordering information and mail it with your Bank Check, Money Order or Personal Check to:

          I Voted Blue
        PO Box 1327
        Hyannis, MA 02601

Please provide the following ordering information listing the number of pins on one line and the tie tacks on the other:

QTY	DESCRIPTION	UNIT PRICE	TOTAL
	American Blue Voter Flag Pins
	American Blue Voter Flag Tie Tacks
		SUB TOTAL
		SHIPPING
		TOTAL

TOTAL NUMBER OF ITEMS ORDERED	UNIT PRICE	SHIPPING
One or two (1 or 2) Flag Pins and/or Tie Tacks	$4.99	$2.00
Three to ten (3 to 10) Flag Pins and/or Tie Tacks	$3.99	$3.00
Eleven to twenty-five (11 to 25) Flag Pins and/or Tie Tacks	$3.50	$5.00

	SHIPPING
Name
Street Address
Mailing Address
City
State/Province
Zip/Postal Code
Country