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The 506th Airborne Infantry Regiment Association (Airmobile - Air Assault)

Music CD Order Form

Contact 506th Association Quartermaster Ron Helwig at 717-502-6468 if you have any questions about this 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
  Coming Home

$5.00

$2.50
 $
  Wait on the Bridge

$5.00

$2.50
  
  Call Me Crazy

$5.00

$2.50
  
  Lover's Midnight Concerto

$5.00

$2.50
  
  Piano, Spirit In My Hands

$5.00

$2.50
  
  I Love My Country

$2.00

$1.00
  
SUBTOTAL $
Shipping @ $3.00 per CD  

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