Make Checks or Money Orders Payable to
The 114th Aviation Company Association

Printable Form
Print & Mail your completed order form & payment to:
Quartermaster
114th Aviation Company Association
P.O. Box 447 Gig Harbor, WA. 98335

Contact:
Phone - 1-253-255-4006 or Email: Quartermaster

Order Form
(Please Print)

Name:____________________________________________________

Address:______________________________  Apt/Suite:___________

City:____________________________ State:____________________

Zip:_______________ 


Item Description
 Size & Color

Quantity
Ordered
Shipping &
Handling
Item 
$ Total

1.____________________________________  ________  ____________  __________

2.____________________________________  ________  ____________  __________

3.____________________________________  ________  ____________  __________

4.____________________________________  ________  ____________  __________

5.____________________________________  ________  ____________  __________

Total amount of purchase plus shipping & handling: $_____________

Note: If ordering items that have no listed shipping charges stated, the minimum shipping on any order is $3.00.  If ordering more than one item without stated shipping charges, add $0.25 per items over one.
  
Please enclose your Check or Money Order with Order Form. 

Phone orders accepted with Visa or MasterCard

This "Order Form" may be printed and mailed along 
with your check or money order to the Quartermaster.


Back to Catalog

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| KIA Memorial | KIA Memorial Ft Rucker | "Taps" | Alumni Directory | Membership Application | Quarter Master Shop |
| Pilots KIA Vietnam | Chopper Restoration | Sign our Guestbook! | Read our Guestbook! | VA Benefits |
| Veterans Links | Unit Photo Album | Unit History Book | Unit Aircraft | Show Your Colors |
| Aircrew KIA Vietnam | Website Awards | The Archive | Director's Forum | Auxiliary | Reunion Information |
| 114th Constitution & Bylaws | Our Vietnam Generation | AOD | Knight Letter | Home |

Created by Terry A. Dell, White Knight Crew-chief 69-70' Republic of Vietnam 
in association with members of the 114th Assault Helicopter Company
 who served May 1963 to February 1972.

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