Make Checks or Money Orders Payable to
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.
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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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