USS Spiegel Grove (LSD-32) Sales Order Form
(Please complete the following, print & mail with your payment - thanks!)

Item 1: 5" round patch  

Item 4: 3"x11" Bumper Sticker

If you prefer to mail payment, please print & mail Order Form to:

Kevin Flatley
3068 S Calle Arrieta
Kingman, AZ 86401

Name

 

Street Address

 

City

 

State

 

Zip Code

 

E-Mail address

 

ROUND PATCH (item #1) quantity @ $7.00 each (includes shipping)

        x $7.00 = $               (for mailed payments)

Total PATCH (ROUND - later years) $$

$                 

OVAL PATCH (item #2) quantity @ $7.00 each (includes shipping)

        x $7.00 = $               (for mailed payments)

Total PATCH (OVAL - earlier years) $$

$                 

BUMPER STICKER (item #3) quantity @ $6.00 each (includes shipping)

         x $6.00 = $              (for mailed payments)

Total BUMPER STICKER $$

$                 

USS Spiegel Grove (LSD-32) Ship's Store GRAND TOTAL $ __________

please IGNORE quantity on PayPal checkout (leave it at one if ordering different items) - simply enter TOTAL AMOUNT DUE

Are you listed on the contact page? Yes No
Would you like to be listed? Yes No
(if yes, please note: email address; dates aboard; rate-rank while aboard; name)

Thank you very much for your order!