REMA Windbreaker Jacket Pre-Order Form

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Orders are now being taken for the REMA windbreaker jacket. Long sleeve, button down jacket.

It is embroidered with the REMA logo.

Price is $40

Complete this form and submit your payment via one of the options below:

Payment upon delivery.

Check or money order payable to:
REMA, mailed to: PO Box 7435. Wantagh, NY 11793

or 'electronically' via:
ZELLE: REMA@NYPDREMA.COM,

VENMO: @REMAESU (if asked for code use '6598') (use friends option) or

PayPal: REMAPP@NYPDREMA.COM (use friends option).

REMA logo is photoshopped to show design.

First Name

Last Name

SIZE

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MEDIUM

LARGE

X LARGE

2X LARGE

3X LARGE

OTHER

Other:

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How do you want to pay for your order?

I will pay upon pickup

CHECK

PAYPAL

VENMO

ZELLE

Other:

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How do you want to receive your order:

I will pick it up at the next REMA event

I want my order mailed

Other:

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House Number and Street (if ordering my mail)

City (if ordering my mail)

State (if ordering my mail)

Zip code (if ordering my mail)

Phone number

Email address

Questions and comments

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