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Liberty Art Works, Inc.
COMMEMORATIVE FDNY AX ORDER FORM

1. Complete order form
2. Print out
3. Mail with check or money order to the address
listed at the bottom of the page

ONLY Fire Department Purchase Orders may be
faxed to 1-888-411-7744

Name

Address (No P.O.Boxes)

City

State

Zip Code

Phone

(Allow 4-6 Weeks for Delivery)

Price: $275 + $15
(for shipping, handling and insurance)

Liberty Art Works, Inc.
P.O. Box 38
Dutzow, MO 63342
Phone/Fax 1-888-411-7744