Order and Remittance Form
Make Checks Payable To: Send To: 5th Armored Division Association
5th Armored Division Association Will Cook, Secretary
16471 N. Nottingham Dr.
Wapakoneta, OH 45895
Phone 419-739-9677
Email: wc5ad@bright.net
5th ADA Books, Maps, Video Items:
Number Title Cost Total
Requested
________ "Who Me?" booklet @ $ 2.50 $__________
________ "Patton's Ghosts" Cook Book @ $10.00 $__________
________ "Patterns of Circles" by John Dolibois @ $20.00 $__________
________ Liberation Jubilee Edition NEWS @ $ 5.00 $__________
________ Fort Knox 50th Activation Video Tape @ $20.00 $__________
________ 1989 Luxembourg Video Tape @ $20.00 $__________
________ Rev. Oliver Omanson Audio Cassette @ $ 5.00 $__________
________ Evelyn Swesson "Music of 40's" Cassette @ $ 7.00 $__________
5th ADA Emblem Items:
________ Combat Infantry Badge Hat Pin @ $ 4.50 $__________
________ Combat Infantry Badge Regular @ $ 5.50 $__________
________ Shoulder Patch @ $ 4.00 $__________
________ Window Decal @ $1.00 or 3/$2.00 $__________
________ Dog Tag Key Ring @ $ 4.50 $__________
Total All Donations Enclosed..........................................$__________
Ship To:
NAME:______________________________________________
Address:___________________________________________
City:______________________State:________________Zip:_____________
Phone:(____) ______-_________
Email:___________________________