Print this form by selecting your File button; then the Print option. Complete the form; send by US Mail.
The 506th Airborne Infantry Regiment Association (Airmobile - Air Assault)
Contact 506th Association Quartermaster Ron Helwig at 717-944-0564 if you have any questions about this Order Form.
Flexible Magnets Order Form
Name: ________________________________ Home Phone: ____________________
Address: ____________________________________ City: ____________________
State: _______ Zip Code: ___________ eMail: _______________________________

## a "member" is someone who has paid their 506th Association 2013 Membership Dues.

Quantity

Item

Each (non-members)

Each (members)##

  TOTAL COST
  506 INF (4.5"x 6") -- select Battalion:
[  ] 1/506   [  ] 2/506   [  ] 3/506

$12.00

$10.00
$
  2nd ID Currahee (4"x 3-3/8")

$7.00

$5.00
 
  Imjin Currahee (4"x 3.5")

$7.00

$5.00
 
  Imjin Scouts (2.75"x 4")

$7.00

$5.00
 
  Size 4.5"x 6" -- select design:
[  ] 1-61 CAV  [  ] 4-320 FA  [  ] 801 BSB
[  ] 4 BSTB  [  ] Stands Alone

$12.00

$10.00
 
  Currahee Battle Flag (7"x 4.5")

$12.00

$10.00
 
  ParaDice Currahee (6" diameter)

$12.00

$10.00
 
  506th Vietnam Veteran (3.75" diameter)

$7.00

$5.00
 
  TF Currahee Afghanistan (6" diameter)

$12.00

$10.00
 
  Airborne Currahee (6"x 4")

$12.00

$10.00
 
  Airborne Wings (6"x 3.25")

$12.00

$10.00
 
  Air Assault Currahee (6"x 4.5")

$12.00

$10.00
 
  Scout Sniper (6"x 2.5") -- select BN:
[  ] 1st BN   [  ] 2nd BN   [  ] 3rd BN

$8.00

$6.00
 
  CIB (6"x 2.5") -- no text

$8.00

$6.00
 
  CIB (6"x 3") -- select text:
[  ] Vietnam  [  ] Iraq  [  ]  Afghanistan

$9.50

$7.50
 
  CAB (6"x 3.25") -- no text

$9.50

$7.50
 
  CAB (6"x 4") -- select text:
[  ] Iraq  [  ]   Afghanistan

$12.00

$10.00
 
  CMB (6"x 4") -- no text

$12.00

$10.00
 
  CMB (6"x 5") -- select text:
[  ] Vietnam  [  ] Iraq  [  ]  Afghanistan

$12.00

$10.00
 
  Currahee Shield (6.5"x 8")

$18.00

$15.00
 
  Currahee Shield (5"x 6")

$12.00

$10.00
 
  Currahee Shield (3.25"x 4")

$7.00

$5.00
 
  101st Currahee (4-7/8"x 4-3/8")

$7.00

$5.00
 
Shipping @ $1.00 per magnet $

Payment Options (choose one below)
Check Enclosed - Check Number AMEX Visa MasterCard Discover  
Card Number  
CVC Number (Code on back of card)
Expiration Date
Card Billing Addres
Card City, State, Zip
Name on Card
Signature
TOTAL AMOUNT ENCLOSED $

Make your check or money order payable to:
506th Airborne Infantry Regiment Association (Airmobile-Air Assault)
Mail this Order Form and your check or money order to:   506th Airborne Infantry Regiment Association
eMail: 506thheadquarters@506infantry.org 950 Glenn Drive, Suite 150, Folsom, CA 95630
Please allow 4 weeks for delivery. Attn: Quartermaster