Print this form by selecting your File button; then the Print option. Complete the form; send by US Mail. 506th Association Quartermaster 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   Pins -- select design: [  ] Currahee Shield (full size)  [  ] ParaDice  [  ] BattleFlag $6.00 $5.00 $   Pin: Currahee Shield (lapel) (3/8"x 1/2") $4.00 $3.00     506 Air Assault Badge (1-3/4"x 7/8") -- select finish: [  ] Bright Silver  [  ] Antique Silver $6.00 $5.00     506 Parachutist Badge (1-1/2"x 1") -- select finish: [  ] Bright Silver  [  ] Antique Silver $6.00 $5.00     506 Infantry Crossed Rifles (1-1/2"x 7/8") $7.50 $6.00     Decal: CIB (3"x 1.5"- 3"x 2") -- select text: [  ] no text  [  ] WWII  [  ] Vietnam  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal: CAB (3"x 1.5"- 3"x 2") -- select text: [  ] no text  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal: CMB (3"x 2"- 3"x 2.375") -- select text: [  ] no text  [  ] WWII  [  ] Vietnam  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal: Airborne Wings (3"x 1.75") $4.00 $3.00     Decal -- select design: [  ] Currahee Shield  [  ] ParaDice  [  ] 101st Currahee [  ] 2nd ID Currahee  [  ] Imjin Currahee  [  ] Imjin Scouts $6.00 $5.00     Decal: 506th Association (8"x 5" Static Cling) $3.00 $2.00     Patch: 101st Currahee (3-7/8"x 3-7/8") $12.00 $10.00     Patch -- select design: [  ] Currahee Shield  [  ] ParaDice  [  ] WWII Currahee Shield $6.00 $5.00     Patch: Currahee Shield with Wings (4.25"x 2.25") -- select design: [  ] Airborne Wings  [  ] Air Assault Wings $6.00 $5.00     506th Infantry Regiment Flash (1.75"x 2.25") $4.00 $3.00     506th Infantry Regiment Oval (2.25"x 1.375") -- select design: [  ] 1st BN  [  ] 2nd BN  [  ] 3rd BN [  ]  plain (no BN) $4.00 $3.00     Neck Cooler (44") $4.00 $2.50     506th Association Challenge Coin (1-1/2" diameter) $10.00* $8.00*   Shipping @ $0.50 per item $ *ADD $1.00 additional shipping for each COIN $ 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