Close-Out Shirts Order Form

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)

Close-Out Shirts Order Form

Name: ______________________________ Home Phone: _______________________

Address: ____________________________________ City: _____________________

State: _______ Zip Code: ___________ eMail: _______________________________

## a "member" is someone who has paid their 506th Association 2012 Membership Dues.
Quantity		Item	Each (non-members)	Each (members)##	TOTAL COST
		Original Polo Shirt (White; XL only)	$32.00	$29.00
BLACK	GRAY	2006 Memorial Jump T-Shirt
	SOLD OUT	Small	$5.00	$3.00
		Medium	$5.00	$3.00
	SOLD OUT	XX-Large	$5.00	$3.00
SUBTOTAL					$
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