You can print this form or handwrite your own with the following information.

OUR HEROES.org


Name:____________________________________________________

Shipping Address:___________________________________________

Phone Number:_____________________________________________

Email Address: _____________________________________________

   
Quantity
Our Heroes Memorial Tag Set $14.95 ____________
USA Cellular Bracelet $19.95 ____________
     
Our Heroes Custom Memorial Tag Set
(Up to 5 lines, 15 characters per line including spaces)
$18.95 ____________
Line 1  ___________________________________________________
Line 2  ___________________________________________________
Line 3  ___________________________________________________
Line 4  ___________________________________________________
Line 5  ___________________________________________________
***FREE shipping and handling. Texas Residents add 8.25% sales tax.
Sub-total
____________
Texas Residents Add Sales Tax
8.25%
S&H
$0.00
Total
____________

Please send check or money order with printed form or handwritten form to:

OurHeroes.org
PO Box 1495
Pflugerville, TX 78691