Order and Remittance Form
Notice: We are discontinuing ALL insignia items and books. Please call or write to
check on availability before ordering any items below. All items in stock on August 20 will be at the
Louisville Reunion.
You can also use this form to make donations to the 5th Armored Division Association!
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 @ $ 8.00 $__________
________ "Patterns of Circles" by John Dolibois @ $22.00 $__________
________ Liberation Jubilee Edition NEWS @ $ 4.00 $__________
________ Evelyn Swesson "Music of 40's" Cassette @ $ 7.00 $__________
5th ADA Emblem Items:
________ Covington Reunion Caps @ $ 8.00 $__________
________ Combat Infantry Badge Regular @ $ 5.50 $__________
________ Window Decal @ $1.00 or 3/$2.00 $__________
________ Donation to the Working Fund $__________
Total All Donations Enclosed..........................................$__________
Ship To:
NAME:______________________________________________
Address:___________________________________________
City:______________________State:________________Zip:_____________
Phone:(____) ______-_________
Email:___________________________