Order Form
U.S. MARINE CORPS PATCHES

Cost of Patches:    1-4      $ 6.00 each
		   5-24      $ 5.00 each
                  25-99      $ 4.00 each
	    100 or more      $ 3.00 each


Quantity _______   Patch _____________________________________

Quantity _______   Patch _____________________________________

Quantity _______   Patch _____________________________________

Quantity _______   Patch _____________________________________

Quantity _______   Patch _____________________________________


TOTAL NUMBER OF PATCHES ________       TOTAL PRICE ___________

If you need more space for your order just use the back of this form.

PLEASE PRINT!

Name:     _____________________________________________________________

Address:  _____________________________________________________________

          _____________________________________________________________

          _____________________________________________________________

Phone or 
E-mail:   _____________________________________________________________


Send this order form with your check, money order, or cash to:

Allyn Hinton
26 Country Creek Dr.
St. Peters, MO  63376-3047

For more information: 636-441-5623  or  MarinePatches@aol.com