Summit Products - Memory Bracelets and Dog Tags


                Product                             Quantity              Total

	   Memory Bracelets

            Red (FDNY) ............................. ______  @ 5.00 ea.  _______

            Blue (NYPD) ............................ ______  @ 5.00 ea.  _______

            Green (Army) ........................... ______  @ 5.00 ea.  _______

            Silver (Navy) .......................... ______  @ 5.00 ea.  _______


	   Dog Tags

            Red (FDNY) ............................. ______  @ 3.00 ea.  _______

            Blue (NYPD) ............................ ______  @ 3.00 ea.  _______

            Green (Army) ........................... ______  @ 3.00 ea.  _______

            Silver (Navy) .......................... ______  @ 3.00 ea.  _______


	   Patriotism Tags

            God Bless America - Red ................ ______  @ 3.00 ea.  _______

            God Bless America - Blue ............... ______  @ 3.00 ea.  _______

            United We Stand - Red .................. ______  @ 3.00 ea.  _______

            United We Stand - Blue ................. ______  @ 3.00 ea.  _______

            Proud to be an American - Red .......... ______  @ 3.00 ea.  _______

            Proud to be an American - Blue ......... ______  @ 3.00 ea.  _______

            Day of Remembrance - Red ............... ______  @ 3.00 ea.  _______

            Day of Remembrance - Blue .............. ______  @ 3.00 ea.  _______


	   Personalized Bracelets / Tags

            Personalized Bracelets ................. ______  @ 7.00 ea.  _______

            Personalized Dog Tags .................. ______  @ 5.00 ea.  _______

            Please list color choice for each tag/bracelet.
            (Options are Red, Blue, Green, Silver, Gold,
            Bronze, Orange, Black, Maroon, Pink, or Purple)

            Please list information to be engraved on each
            item (Max of 3 lines with 32 characters per line
            for bracelets, and a max of 4 lines with 22
            characters per line for dog tags)


                                                          Subtotal:      _______


                                                          Shipping:      _______
                                                          (see below)

                                                          Tax:           _______
                                                          (TX res.
                                                          add 6.25%)

                                                          Total:         _______



       __  Check    __  Credit Card   Number: ____________________  Exp. _______



                                Mailing Address:  ______________________________


                                                  ______________________________


                                                  ______________  __  _____-____


                                 Phone Number:	  ______________________________



             Shipping Costs:                        Mail to:  SUMMIT PRODUCTS
       1-10 items      $1.00 per order                        P.O. Box 905
       11-50 items     $3.00 per order                        Mineola, TX  75773
       51-100 items    $4.50 per order
       101+ items      Call for quote               Fax to:   1-903-569-0699