Print this form by selecting your File button; then the Print option. Complete the form; send by US Mail. 506th Association Small Items 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   Pins -- select design: [  ] Currahee Shield (full size)  [  ] ParaDice  [  ] BattleFlag $6.00 $5.00 $   Pin: Currahee Shield (lapel) (3/8"x 1/2") $4.00 $3.00     506 Air Assault Badge (1-3/4"x 7/8") -- select finish: [  ] Bright Silver  [  ] Antique Silver $6.00 $5.00     506 Parachutist Badge (1-1/2"x 1") -- select finish: [  ] Bright Silver  [  ] Antique Silver $6.00 $5.00     506 Infantry Crossed Rifles (1-1/2"x 7/8") $7.50 $6.00     (p) Pins -- select design: [  ] DMOR  [  ] HMOR Available for purchase only by those selected as DMOR or HMOR $7.50 $6.00     Decal: CIB (3"x 1.5"- 3"x 2") -- select text: [  ] no text  [  ] WWII  [  ] Vietnam  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal: CAB (3"x 1.5"- 3"x 2") -- select text: [  ] no text  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal: CMB (3"x 2"- 3"x 2.375") -- select text: [  ] no text  [  ] WWII  [  ] Vietnam  [  ] Iraq  [  ]  Afghanistan $4.00 $3.00     Decal -- select design:  [  ] Airborne Wings (3"x 1.75") [  ] Currahee 506th INF (4"x 2.25") $4.00 $3.00     Decal: Airborne Wings (6"x 3.25") $5.00 $4.00     Decal: Scout Sniper (3"x 1.25") -- select design: [  ] 1st BN  [  ] 2nd BN  [  ] 3rd BN $4.00 $3.00     Decal -- select design: [  ] 1st ABG Veteran  [  ] Vietnam Veteran  [  ] 101st Currahee [  ] Currahee Shield  [  ] ParaDice  [  ] Imjin Scouts  [  ] Korea Veteran [  ] 2nd ID Currahee  [  ] Imjin Currahee  [  ] Afghanistan Veteran $6.00 $5.00     Decal: 506th Association (8"x 5" Static Cling) $3.00 $2.00     Patch -- select design:  [  ] 101st Currahee  [  ] ParaDice [  ] Currahee Shield  [  ] WWII Currahee Shield $6.00 $5.00     Patch: Currahee Shield with Wings (4.25"x 2.25") -- select design: [  ] Airborne Wings  [  ] Air Assault Wings $6.00 $5.00     506th Infantry Regiment Flash (1.75"x 2.25") $4.00 $3.00     506th Infantry Regiment Oval (2.25"x 1.375") -- select design: [  ] 1st BN  [  ] 2nd BN  [  ] 3rd BN [  ]  plain (no BN) $4.00 $3.00     Neck Cooler (44") $2.00 $1.00     506th Association Challenge Coin (1-1/2" diameter) $10.00* $8.00*   Shipping @ $0.50 per item $ *ADD $1.00 additional shipping for each COIN $ 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