Printable Order Form

Print this form out and send it completed with your check or money order to:

Armed Forces Emblems
1024 South Gloucester St.
Irving, TX. 75062

Name:_________________________

Street Address:__________________________________________

City/State/Zip Code:_______________________________

Telephone:_____________________

Email Address:_________________________________

Customer Signature:_____________________________
Product Code Quantity  Price      
     
     
     
     
     
     
     
     
Sub-Total  
Shipping  
Tax (TX Residents only)(8.25%)  
Total  
Shipping (USPS) First Class
Purchasing Price Shipping
$9.00 $1.31
$18.00 $1.31
$27.00 $1.48
$36.00 $1.48
$45.00 $1.65
$54.00 $1.65
$63.00 $2.07
$72.00 $2.07
$81.00 $2.55
$90.00 $2.55
Tax
Purchase price Tax
$9.00 $0.74
$18.00 $1.49
$27.00 $2.23
$36.00 $2.97
$45.00 $3.71
$54.00 $4.46
$63.00 $5.20
$72.00 $5.94
$81.00 $6.68
$90.00 $7.42