PRINT-OUT FORM, COMPLETE, AND MAIL WITH LAYOUT FORM AND PAYMENT
 | DOG TAG ORDER FORM | Item Price | sub-totals |
| Qty ___ | MILITARY STAINLESS STEEL TAG
Includes One Personalized Tag and One 24"
Stainless Steel Bead Neck Chain. | $5.00 | ______ |
| Qty ___ | MILITARY STAINLESS STEEL TAG
Includes Two Personalized Tags and One 24"
Stainless Steel Bead Neck Chain. | $8.00 | ______ |
| Qty ___ | TAG SILENCERS (each) | $0.75 | ______ |
| SUB TOTAL | | ______ |
| SHIPPING AND HANDLING | | $ 1.75 |
| TOTAL | | ______ |
Name: ______________________________________________________________
Address: ____________________________________________________________
City: _________________________________ State: _____ Zip: ________________
PLEASE INCLUDE YOUR LAYOUT FORM FOR HOW YOU WANT YOUR DOG TAG MADE OUT.
Mail with check or money order payable to DEHM to:DESTROYER ESCORT HISTORICAL MUSEUM
USS SLATER DE-766
PO BOX 1926
ALBANY, NY 12201-1926
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DEHM is a Non-Profit Historical Museum. Sales income is used to help restore the USS Slater