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The 506th Airborne Infantry Regiment Association (Airmobile - Air Assault)
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.
**Colors: W=White; B=Black; G=Gray; T=Tan; LBL=Light Blue; DGR=Forest Green; K=Khaki; P=Pink;
              DBD=Dark Blue Denim; LBD=Light Blue Denim
FRONT DESIGN CODES
Embroidered designs:
(1) 506th Currahee; (2) 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; (43) Stands Alone; (44) 506 Parachute Badge; (45) Parachute Badge

Item

Front Design #

Colors**

Sizes

Each
(non-members)

Each
(members)##
Polo Shirt

1-2; 13-14;
28-40; 43-45

W, B, LBL, G, T

S, M, L, XL

$32.00

$29.00

2XL, 3XL

$34.00

$31.00
Short Sleeve
Denim Shirt

1-2; 13-14;
28-40; 43-45

DBD, LBD

S, M, L, XL

$28.00

$25.00

2XL

$30.00

$27.00

3XL

$34.00

$31.00
Long Sleeve
Denim Shirt

S, M, L, XL

$40.00

$35.00

2XL

$50.00

$45.00

3XL

$60.00

$55.00
Crewneck
Sweatshirt

1-2; 13-14;
28-40; 43-45

W, B, G, T,
P, DGR, K

S, M, L, XL

$26.50

$23.50

2XL, 3XL

$27.50

$24.50
Hooded
Sweatshirt

S, M, L, XL

$37.00

$34.00

2XL, 3XL

$41.00

$38.00

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 area ($6.00 per Sweatshirt/Polo/Denim Shirt):
[  ] 506 Parachute Badge   [  ] Parachute Badge
$6.00 $
  Select optional design on right chest area ($6.00 per Sweatshirt/Polo/Denim Shirt):
[  ] CIB   [  ] CAB   [  ] CMB -- then select text:
[  ] WWII   [  ] Vietnam   [  ] Iraq   [  ]   Afghanistan   [  ] no text
$6.00 $
  Optional Personalization Information ($6.00 per Sweatshirt/Polo/Denim Shirt) $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