50th Reunion Product Order Form

Please note:  Additional charges include sales tax for items shipped to California (8.25%) or Virginia (5%) and shipping ($7 per jacket)

Credit card charge will appear from Silver Lining, Inc.

Billing information:

Credit card number       ____________________________________________________________

Expiration date             ____________________________________________________________

Security code               ____________________________________________________________

Cardholder name          ____________________________________________________________

Billing address  ____________________________________________________________

                                    ____________________________________________________________

Phone                          ____________________________________________________________

Email (optional)            ____________________________________________________________

Shipping information (if different from billing information):

Name                           ____________________________________________________________

Shipping address          ____________________________________________________________

                                    ____________________________________________________________

Phone                           ____________________________________________________________

To place your order, please either fax your completed form to Tracy Kim (Silver Lining, Inc.) at fax number 360-287-1893 or mail to Tracy Kim, Silver Lining, Inc., 1511 22nd St N, Arlington, VA 22209.  For any questions, please contact Tracy at tracy@s-lining.com or 516-426-6693.