The 5th Infantry Chapter    

Summer Jacket Order Form
     

Just complete this form. After hitting SUBMIT you will see a confirmation of your email order, at the bottom of that page there will be a link to complete the online payment for your Summer Jacket.  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 Summer Jacket? Select one:                  

1st color is Outer Shell & 2nd color is lining/collar

Khaki / Navy
Navy / Khaki
Forest / Green Khaki
Black /Khaki

What Size?

Type of Summer Jacket?

With 5th Infantry Crest & Combat Infantryman's Badge - Payment option (A) $55.00
With 5th Infantry Crest & Combat Medic's Badge-Payment option (B) $55.00
5th Infantry Crest, Combat Infantry Badge, and   25th Division Patch on right sleeve.          Payment option (C) $60.00
5th Infantry Crest, Combat Medics Badge, and  25th Division Patch on right sleeve.           Payment option (D) $60.00

 Thank you for your Order!  

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