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

Item 1: 5" round patch Item 2: 6" ruler Item #3: USS Spiegel Grove (LSD-32) oval patch

Item 4: 3"x11" Bumper Sticker

Please print & mail Order Form to:

Kevin Flatley
114 Kale Avenue
Sterling, VA 20164

Name

 

Street Address

 

City

 

State

 

Zip Code

 

E-Mail address

 

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

        x $7.00 = $              

Total PATCH (ROUND - later years) $$

$                 

RULER (item #2) quantity @ $4.00 each (includes shipping)

        x $4.00 = $              

Total RULER $$

$                 

PATCH (item #3) quantity @ $7.00 each (includes shipping)

        x $7.00 = $              

Total PATCH (OVAL - early years) $$

$                 

BUMPER STICKER (item #4) quantity @ $6.00 each (includes shipping)

         x $6.00 = $              

Total BUMPER STICKER $$

$                 

GRAND TOTAL $$ remitted

$                 

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!