Lucky's Cash Sales - Order Form
Print this out and send it in with your check
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