The 5th Infantry Chapter    

Shirt Order Form

 

Just complete this form. After hitting SUBMIT you will be taken to a page to complete the online payment for your shirt. Make note of your payment option on this page as it will help you when making payment

 

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Email address:

Any comments?

What Color Shirt ?

White
Gray
Black
Forest Green
Navy Blue

What Size?

Type of shirt?

5th Infantry Crest & Combat Infantry Badge (no pocket)  Payment option (A) $29.00
5th Infantry Crest & Combat Medics Badge (no pocket)           Payment option (A) $29.00
5th Infantry Crest & Combat Infantry Badge with a pocket       Payment option (B) $32.00
5th Infantry Crest & Combat Medics Badge with a pocket       Payment option (B) $32.00
5th Infantry Crest, Combat Infantry Badge, and   25th Division Patch on right sleeve. (no pocket) Payment option (C) $33.00
5th Infantry Crest, Combat Medics Badge, and   25th Division Patch on right sleeve. (no pocket) Payment option (C) $33.00
5th Infantry Crest, Combat Infantry Badge, 25th Division Patch on right sleeve, and a pocket Payment option (D) $36.00
5th Infantry Crest, Combat Medics Badge, 25th Division Patch on right sleeve, & a pocket Payment option (D) $36.00

 Thank you for your Order!  

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