Thanks to Vintage resident Professional Firefighter Scott Kelly for this opportunity to
show our respect and support for our heros. 
COST: $10
COLOR: Navy Blue
SIZES: S, M, L, XL, XXL, XXXL
ORDERING INFORMATION: To place an order, please fill out order form below and mail, fax or
email order to:
Fax: Attention Mark Viramontes 253-460-5509
Email order: mviramonte@piercefire.org or lchristianson@piercefire.org
Mail:
University Place Professional Firefighters Local 2105
7909 40th Street West
University Place, WA 98466
Please include all information from the order form.
Description Quantity
Small FDNY Memorial Shirt ________
Medium FDNY Memorial Shirt ________
Large FDNY Memorial Shirt ________
XL FDNY Memorial Shirt ________
XXL FDNY Memorial Shirt ________
XXXL FDNY Memorial Shirt ________
TOTAL # OF SHIRTS ________
SHIRTS X $10 ________
Shipping & Handling ($2 per shirt) ________
TOTAL DUE ________
Shipment will be made within 72 hours upon
receipt of payment.
Payment Method: IAFF Local check (i.e. IAFF-2105 UPPFF)
Cashier check or money order payable to UPPFF LOCAL 2105
Attn: FDNY Memorial Shirts
7909 40th Street West
University Place, WA 98466
SHIP TO:
Name: _______________________________________________
Business Name, if applicable: ____________________________
Address: ______________________________________________
City, State, Zip: _________________________________________
Daytime Phone: _________________________________________
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