Order Form
 Click on Logo Jacket for description, cost and available options     Press Tab key to complete entry

Item

Size

Price

Quan.

Cost
Logo Jacket         Name     ANG  Ret
Extra Fields $5 each    &/or  

Logo Polo Shirt

$20.00

Logo Baseball Cap (with embroidered Logo)  

$10.00

Logo Baseball Cap (with silk screened Logo)  

$5.00

Large Jacket Patch  

$10.00

Small Shirt / Cap Patch  

$5.00

Logo Pin  

$5.00

129th Aircraft Collage  

$10.00

129th 50th Anniversary Coin  

$5.00

Sub Total

Shipping and Handling

Please remit this amount with your Order                 Order Total

 

Ship To:

  

Name:  
Address:    

City:

    State   Zip 

 

Phone:       Email:    

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Shipping & Handing costs are calculated as follows

Item

S&H ea

 Item

S&H ea

Logo Jacket

 $7.00

Polo Shirt

 $5.00

All Baseball Caps

 $2.50

AC Collage Poster

 $2.00

Coin

 $1.00

Logo Pin / All  Patches

 $0.50

Make checks payable to: 129th AHA
Please Print completed form and Mail with Remittance to:

CMSgt Ken Moore (Ret)
41658 Covington Dr
Fremont  CA  94539-4651