Aero

Aero-marine Interline tours, INC
75 Route 23 South
Franklin, NJ 07416
800-255-2376

Please complete and return via
e-mail shirts@aero-marine.com
or fax to: (973) 823 8700

Aero Apparel Order Form

Polo Shirt- $20.00 ea ($15.00 ea. until June 15)		T-Shirt- $15.00 ea ($10.00 ea. until June 15)
Size __ Medium __ Large __ X-Large		Size __ Medium __ Large __ X-Large
Color __Burgundy ___Red ___ Royal Blue		Color ___Burgundy ___Gray ___White ___ Dark Blue

In lieu of my credit card imprint, I _________________________________(print name of cardholder as shown on credit card)

hereby authorize Aero-Marine Interline Tours to charge my Visa or MasterCard (circle one)

credit card account number ___________________________ with an expiration date of ___ /___ (mm/yy)

the amount of $_______________ (USD) for payment of my order.

My credit card billing address is:

Street: _______________________________ Apt # ________

City ______________________, State/Province _________ Postal Code _____________

Country ___________________________

My E-mail Address is: ____________________________________ My phone number is: ________________________________

Shipping Address (if different than Billing Address)

Ship to : ________________________________________

Street: _______________________________ Apt # ________

City ______________________, State/Province _________ Postal Code _____________ Country ________

By submitting this form, I agree to the charges described above and authorize Aero-Marine Interline Tours, Inc to process the above credit card for these charges. I understand that all sales are final and returns or refunds will not be processed. I agree to pay in full these charges in accordance with the standard policy of company issuing the credit card. Under penalty of Federal laws and the laws of the State of New Jersey, I certify the foregoing is true and correct.

Print Name________________________________ Date ______________________