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  Orders will only be accepted from authorized Salvation Army officers or staff,
and shipped only to Salvation Army Corps addresses.

  *Indicates Required Fields

Corps Name*

Your Name*

Trade Customer#

Unit Location*

Shipping Address* (Street Address)

City *  State/Province*     Zip*

Mailing Address (If Different)

City  State  Zip 

Telephone #*

Fax #

Email Address:*

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