Print this form by selecting
your File button; then the Print option. Complete the form; send
by US Mail.
The 506th Airborne
Infantry Regiment Association (Airmobile - Air Assault)
Embroidered Items Order
Form
Name: ________________________________
Home Phone: ____________________
Address: ______________________________________
City: __________________
State: _______ Zip Code: ___________ eMail:
_______________________________
|
## a "member" is someone who
has paid their 506th Association 2012 Membership Dues. |
| **Colors: W=White;
B=Black; G=Gray; T=Tan; OG=Oxford Gray; DGR=Forest Green; K=Khaki;
D=Digital; BRN=Brown |
FRONT DESIGN CODES
Embroidered designs: (1) 506th Currahee;
(2) 4BCT ParaDice; (8) 506th Currahee; (9) 4BCT ParaDice; (13)
Airborne Wings;
(14) Air Assault Wings; (28) 101st Currahee; (29) WWII CIB; (30)
Vietnam CIB; (31) Iraq CIB; (32) Afghanistan CIB; (33) CIB;
(34) CAB; (35) Iraq CAB; (36) Afghanistan CAB; (37) CMB; (38)
Vietnam CMB; (39) Iraq CMB; (40) Afghanistan CMB;
(42) ABG 506th; (43) Stands Alone; (44) 506 Parachute Badge;
(45) Parachute Badge |
|
Item |
Front Design # |
Colors** |
Sizes |
Each
(non-members) |
Each
(members)## |
| Hat: 5-Panel Cotton |
8-9; 13-14;
28-40; 42-45 |
W, B, T, DGR |
One size |
$16.00 |
$14.00 |
| Hat: 5-Panel
Nylon |
| Hat: Flag |
8-9;
13-14;
28-40;
42-45 |
White |
One size |
| Hat: Low-Profile |
W, B, T |
| Hat: Army
Field Cap |
D, K, B |
| Cotton
Knit Beanie |
1-2; 13-14;
28-40; 43-45 |
W, B, G |
One size |
$13.00 |
$11.00 |
| Polar
Fleece Beanie |
W, B, G |
$18.00 |
$16.00 |
| Golf
Towel (11"x 18") |
1-2; 8; 13-14;
28-40; 43-45 |
W, B |
One size |
$15.00 |
$12.00 |
| Currahee
Bear (10") |
W, BRN |
One size |
$30.00 |
$25.00 |
| Cotton
Shorts |
1-2; 13-14;
28-40; 43-45 |
B, OG |
S, M, L, XL |
$25.00 |
$22.00 |
|
2XL |
$29.00 |
$26.00 |
|
3XL |
$32.00 |
$29.00 |
| Nylon
Jacket |
1-2; 13-14;
28-40; 43-45 |
Black |
S, M, L, XL |
$50.00 |
$45.00 |
|
2XL |
$55.00 |
$50.00 |
|
3XL |
$60.00 |
$55.00 |
|
Quantity |
Item |
Front Design #
(Select ONLY 1
design per item) |
Person-
alize? |
Color |
Size |
Price Each |
TOTAL |
| |
|
|
Y N |
|
|
|
$ |
| |
|
|
Y N |
|
|
|
|
| |
|
|
Y N |
|
|
|
|
| |
Select optional design on
right chest/leg ($6.00 per Jacket/Shorts):
[ ] 506 Parachute Badge [ ] Parachute Badge |
$6.00 |
$ |
| |
Select optional design
on right chest/leg ($6.00 per Jacket/Shorts):
[ ] CIB [ ]
CAB [ ] CMB -- then
select text:
[ ] WWII [ ]
Vietnam [ ] Iraq [ ]
Afghanistan [ ] no text |
$6.00 |
$ |
| |
Optional Personalization Information
($6.00 per Jacket/Shorts): |
$6.00 |
$ |
|
Line 1: |
|
|
|
Line 2: |
|
|
Line 3: |
|
| Shipping ($5.50
for the 1st item + $3.00 shipping per additional item) |
$ |
| TOTAL AMOUNT ENCLOSED |
$ |
| Make your check
or money order (no credit cards) payable to: |
| 506th Airborne Infantry
Regiment Association (Airmobile-Air Assault) |
| Mail this Order Form and your check
or money order to: |
Hoyt Bruce Moore, III, Treasurer |
| eMail: TheMOE_A1506@msn.com |
4126 Cole Way |
| Please allow 4 weeks for delivery. |
San Diego, CA 92117-1123 |
|