COMPUTER NO.______ (NUMBER IS FOUND ON YOUR MAILING LABEL AND MEMBERSHIP CARD)

NAME (FIRST)__________(MIDDLE)________(LAST)__________________ WIFE_____________

STREET_____________________BOX______ CITY_________________STATE____ZIP__________

PHONE NO (____)____ _________E-MAIL____________________(FAX)(____)____ _________

SERVICE #_______________BIRTH DATE________________INJURED IN SERVICE____________

ARMED GUARD CAPS: ALL ARE $15.00 DONATION AND INCLUDES POSTAGE
    WHEN ORDERING, CIRCLE NUMBER, WINTER OR SUMMER AND AMOUNT

01-ARMED GUARD WW II CAP   NAVY    WINTER____  SUMMER____      TOTAL_______
02-ARMED GUARD WW II CAP   WHITE   WINTER____  SUMMER____      TOTAL_______
03-A.G. LIBERTY  SHIP CAP  NAVY    WINTER____  SUMMER____      TOTAL_______
04-A.G. MURMANSK RUN CAP   NAVY    WINTER____  SUMMER____      TOTAL_______
05-A.G. PACIFIC CAP        NAVY    N/A         SUMMER____      TOTAL_______
06-A.G. EAGLE CAP          NAVY    WINTER____  SUMMER____      TOTAL_______
07-A.G. EAGLE CAP          WHITE   WINTER____  SUMMER____      TOTAL_______
08-MERCHANT MARINE CAP     NAVY    WINTER____  SUMMER____      TOTAL_______
                                                         GRAND TOTAL_______

MAKE CHECKS OR MONEY ORDERS PAYABLE TO: "U.S. NAVY ARMED GUARD WW II"

SEND ALL ORDERS TO:
    
U.S. NAVY ARMED GUARD VETERANS 
115 WALL CREEK DR.
ROLESVILLE, NC 27571

ALL ITEMS INCLUDES COST AND DONATIONS HELP PAY FOR EXPENSE OF ARMED GUARD 
"ONLY." ON BEHALF OF THE CREW, WE THANK YOU FOR ORDERING THESE ITEMS. 
DISPLAY THEM AND HELP FIND MORE OF THE "OL SALTS". WE'RE DOING ALL WE CAN!
ARE YOU? C.A. LLOYD