YOU MUST BE A CURRENT ASSN. MEMBER TO ORDER THE FOLLOWING ITEMS:
ITEM DESCRIPTION                        PRICE    QTY     TOTAL

1. Association Logo Golf Shirt
   Circle Size:  M , L , XL , XXL 
   Circle Color: Red or Forest Green    $ 36    _____  $_________

2. Association Logo Sweat Shirt
   Circle Size:  L , XL , XXL 
   Circle Color: Red or Forest Green    $ 45    _____  $_________

3. 2010 Reunion T-shirt
   Circle Size:  L, XL, XXL, XXXL       $ 12    _____  $_________

4. 2010 Ladie's Night Shirt
   One size fits all                    $ 15    _____  $_________

5. 2010 Coffee Mug                      $  6    _____  $_________

6. POPASMOKE Challenge Coin		$  8    _____  $_________

7. 2010 Reunion Coin        		$  8    _____  $_________

8. Association Patch                    $  5    _____  $_________

9. Association Decal Sticker            $  2    _____  $_________

10. "Association Key Ring"
   Qty: Assoc_______                    $  5    _____  $_________

YOU DO NOT HAVE TO BE A CURRENT ASSN. MEMBER TO ORDER THE FOLLOWING ITEMS:
11."Wings Key Ring"
   Qty: Pilot_______ Aircrew_______     $  6    _____  $_________

12."Vietnam Service Ribbon" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

13."Vietnam Service Ribbon" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

14."SW Asia Service Medal" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

15."SW Asia Service Medal" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

16."Global War on Terrorism" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

17."Global War on Terrorism" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

18."Afghanistan Service Ribbon" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

19."Afghanistan Service Ribbon" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

20."Iraq Campaign" 
   Bumper Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________

21."Iraq Campaign" 
   Bumper Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________

22."Jane" Sticker (2 1/2" x 9 1/4")     $  2    _____  $_________
   * ONE FREE "JANE" BUMPER STICKER WITH ALL ORDERS *   

22."Jane" Sticker (1 1/4" x 5 5/8")     $  2    _____  $_________ 

23."Lucky" Hat Pin               	$  5    _____  $_________

24."Vietnam Service Ribbon" Pin 	$  4    _____  $_________

25."Classic Association" Pin  		$  5    _____  $_________
   While Supplies Last!   

26.DVD-Vietnam's Helicopter Heroes       $ 20    _____  $_________


            SHIPPING & HANDLING SCALE                              
            $0.01   -   9.99   $  5.00 
            $10.00  -  49.99   $  6.00 
            $50.00  -  99.99   $  7.00 
            $100.00 - 999.99   $ 12.50    SHIPPING     $_________

                                          GRAND TOTAL  $_________

Name:           __________________________________________________________

Street:         __________________________________________________________

City/State/Zip: __________________________________________________________

E-mail:         __________________________________________________________

Phone:          ____________________________ Order Date: _________________
Make checks out to "POP A SMOKE" and send to the following address:
USMC/COMBAT HELICOPTER ASSOCIATION
520 Gentlewood Square, Purcellville, VA 20132

Allow 4-6 weeks for delivery, especially when ordering shirts.
For additional information, contact us at:  larry.koz@juno.com