USMVMC ARTWORK ORDER FORM

FILL OUT THIS FORM, PRINT IT OUT AND MAIL WITH PAYMENT.  CHAPTER PRESIDENT'S NAME REQUIRED FOR MEMBERSHIP CONFIRMATION.  ORDERS SUBMITTED WITHOUT THIS INFORMATION WILL NOT BE SHIPPED UNTIL MEMBERSHIP CONFIRMATION IS RECEIVED.  PRINT NUMBER DESIRED MUST BE AVAILABLE.  TO HOLD DESIRED PRINT NUMBER, EMAIL VMAN@INSIGHTBB.COM (PRINTS WILL BE HELD FOR A MAXIMUM OF 2 WEEKS)

MAIL TO: USMVMC ARTWORK, PO BOX 3344, CLARKSVILLE, IN  47131-3344

Please provide the following ordering information, print legibly:

PRINT # PURCHASED BY (ROAD NAME):

TOTAL ENCLOSED
Artwork Total
Shipping Total

NAME

Street Address
City
State
Zip/Postal Code
Ch President's Name
Chapter & State

 

USMVMC INDIANA.
Copyright © 2005 [USMVMC]. All rights reserved.
Revised: September 16, 2005