VetSignia
Magnetized
Vehicle Plaques
Plaque
Request
Form

This form is to be printed and mailed to the address listed at the bottom.
A hand written request is also acceptable if you do not have a printer.

The plaques show both the war served in and the branch of service for these Veterans.
      How                                How
     Many?                              Many?
     _____ WWII/U.S. ARMY               _____ VIETNAM/U.S. ARMY
     _____ WWII/U.S. NAVY               _____ VIETNAM/U.S. NAVY
     _____ WWII/U.S. MARINES            _____ VIETNAM/U.S. MARINES
     _____ WWII/U.S. ARMY AIR CORPS     _____ VIETNAM/U.S. AIR FORCE
     _____ WWII/U.S. COAST GUARD        _____ VIETNAM/U.S. COAST GUARD
     _____ WWII/MERCHANT MARINE 
       
     _____ KOREA/U.S. ARMY              _____ PERSIAN GULF/U.S. ARMY
     _____ KOREA/U.S. NAVY              _____ PERSIAN GULF/U.S. NAVY
     _____ KOREA/U.S. MARINES           _____ PERSIAN GULF/U.S. MARINES
     _____ KOREA/U.S. AIR FORCE         _____ PERSIAN GULF/U.S. AIR FORCE
     _____ KOREA/U.S. COAST GUARD       _____ PERSIAN GULF/U.S. COAST GUARD
                         _____ SEABEES/U.S. NAVY

 Plaques for Veterans serving in Overseas Expeditionary Campaigns such as Panama, 
 Somalia, Bosnia, Afghanistan, Iraq, etc. show their branch of service and Expeditionary.
     _____ U.S. ARMY/EXPEDITIONARY      _____ U.S. NAVY/EXPEDITIONARY
     _____ U.S. AIR FORCE/EXPEDITIONARY _____ U.S. MARINES/EXPEDITIONARY
     _____ U.S. COAST GUARD/EXPEDITIONARY _____ IRAQ/EXPEDITIONARY
     _____ AFGHANISTAN/EXPEDITIONARY      _____ WAR ON TERROR/EXPEDITIONARY

 Veterans serving in peacetime can get plaques showing their branch of service.
     _____ U.S. ARMY          _____ U.S. NAVY          _____ U.S. MARINES
     _____ U.S. AIR FORCE     _____ U.S. COAST GUARD   _____ MERCHANT MARINE

                    TOTAL NUMBER OF PLAQUES REQUESTED    ____________
                       Cost:  2/$12  (they can be mixed)
                       Additional plaques $5 each
                       (3/$17, 4/$22, 5/$27, etc.)
                       Postage and Handling Included
                       AMOUNT ENCLOSED                   $____________
                
   Mag/VetSignias are mailed first class, usually within 48 hours of receipt of request.
                Personal check or money order is fine. Credit card users click here
                Payable to:  Bob Kline
                             Box 382
                             Blue Bell, PA.  19422

    Name __________________________________________________________

    Address _______________________________________________________

    City, State, Zip ______________________________________________

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