Military Buckle Form G1970F

Buckle # 710F Order Form

Choose your Emblem for order.

CHUTE 1F

ARMY 1F

COAST 1F

MEDI C 5472

AIR 1F

M CHUTE 1F

MARINE 1F

SEABEE 1F

USN 1F

Choose Emblem

Your choices to Pay:

1. Mail Us a Check

2. Mail Us a Money Order -

3. Debit or Credit Card Using Phone

4. Online Credit Card available Using Secure Pay Pal Shopping cart.

Lucky takes daytime Phone Orders

1-888 696 6512

luckinc@yahoo.com

NAVY 1F

Choice of Military Emblem Figure

First :

Last:

Address:

City :

State & Zip Code:

Telephone#:

Email:

Buckle Number:

Military Emblem:

Buckle Price:

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Comments:

$28 Each