PRINT-OUT THIS PAGE, COMPLETE, AND MAIL WITH PAYMENT
Money order payments ship quickly.  Check payments allow 2-4 weeks for shipment
Ship To:

Name:___________________________________________________

Address:_________________________________________________

City______________________________________State___________

ZIP Code _____________________


Telephone (day) ________________________ ... (home) ________________________

Have you ordered from us before? ... Yes (
   ) ..... No (   ) -

Confirm receipt of my order via E-MAIL to :__________________________________________

DOG TAG ORDER FORM

Item Price sub-totals
Qty ___ Dog Tag Set
Includes Two Personalized Tags and One 24"
Bead Neck Chain and 2 silencers.
$8.95 ______
SUB TOTAL ______
SHIPPING AND HANDLING $ 0.00
TOTAL ______
***  PLEASE WRITE CLEARLY  ***
Silencer Color   (circle):  Black - Green - Red

Dog Tag
Color   (circle):  Black - Silver - Red - Gold

Tag  Data 

Line 1:  __  __  __  __  __  __  __  __  __  __  __  __  __  __  __
Line 2:  __  __  __  __  __  __  __  __  __  __  __  __  __  __  __
Line 3:  __  __  __  __  __  __  __  __  __  __  __  __  __  __  __
Line 4:  __  __  __  __  __  __  __  __  __  __  __  __  __  __  __
Line 5:  __  __  __  __  __  __  __  __  __  __  __  __  __  __  __

 Dog tag may have up to 5 lines and 15 characters per line, including spaces.

MAIL THIS WITH FORM WITH PAYMENT TO:
ARMY NAVY  - 2759 SOUTH YORK RD. - GASTONIA NC - 28052