Order and Remittance Form

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. 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                           Patrick DeMico - President
                                                           2216 Longview Drive
                                                           Greensburg, PA 15601
                                                           Phone  (412) 585-5556
                                                           Email: p.demico@comcast.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:___________________________