IF WE CAN'T FIND YOU, WE CAN'T HELP YOU!

To place an order simply fill out the below information, print out the form and mail the information along with a $15.00 Check made out to "The Volunteer Fire Company Of Halfway".

Then mail it to us at:
C/O Reflective Signs Program
Volunteer Fire Company Of Halfway
11114 Lincoln Avenue
Hagerstown, MD 21740

Or you can fill out the form and drop it off at the Fire House with your check.
 
REFLECTIVE SIGN ORDER FORM:

Quantity

Cost Per Sign
HOW MANY REFLECTIVE SIGNS YOU ARE REQUESTING?($15 each)

     
    Total Cost
   
WHAT STYLE SIGN DO YOU REQUIRE? Horizontal               Vertical
NUMBER PLACEMENT? On One Side           On Both Sides
LABEL YOUR NUMERIC'S HERE FOR YOUR SIGN:        
   
PLEASE ADVISE OF SPECIAL INSTRUCTIONS HERE:
   
YOUR CONTACT INFORMATION:  
NAME:
STREET ADDRESS:
CITY, STATE and ZIP CODE:
HOME PHONE:          CELL PHONE: 
E-MAIL ADDRESS #1:  E-MAIL ADDRESS #2:  

For more information contact me at wcking@myactv.net or (301)992-6664