FREER DEER CAMP, INC.
P. O. BOX 690 - Freer, Tx 78357
361-394-5586
DATE ____________________________
NAME _____________________________________________
ADDRESS___________________________________________
CITY_______________________STATE_______ZIP_________
PHONE#____________________________________________
EMAIL____________________________JACKET SIZE_______
Credit Card: ($1.50 Fee Per Entry For Credit Card)
Card #_________________________________CVC______
Exp. Date___________ (CVC = Last 3 digits on back of card)
Name on Card _____________________________________
Billing Address_____________________________________
City_____________________TX_________Zip____________
Men________ Ladies_______ Youth________
PAY NOW BY USING THE "PAY PAL" BUTTON ABOVE OR
MAIL/FAX BACK THIS FORM TO THE ADDRESS BELOW.
Mail To: P. O. Box 690, Freer, Tx 78357
Fax To: 361-394-6584
Make Checks Payable to "Wounded Hero's of America"
Now a Qualified 501(c)(3)