JWV Supply Form

Required fields are indicated with an asterisk *

Please fill out form, print page and press submit. Mail check to Attn: JWV SUPPLY DEPT for amount stated, upon receipt of payment your order will be processed. Thank you.

***Please be advised that you can no longer order Berets, Caps, Strips or Cap Covers through this form or JWV directly, the following form may be used by you as a reference on cost but NO ORDER FOR Berets, CAPS, STRIPS or CAP COVERS MAY BE PLACED through this form. All berets and caps are now to be ordered directly through the manufacturer, the information is as follows:

Keystone Uniform Cap Corporation

801 N. Front Street

Philadelphia, PA 19123

1-215-922-5493 Fax: 1-215-922-5161

Note: Each beret is $4.75 for shipping beret(s) via U.S. mail per order

Supply ID# Description Additional Info Price Qty. Total__________________

1007 American Flags 12"x18" on 30" wood staff Dozen $18.00

1022 Constitution & By-Laws $7.50___________

1023 Manual of Ceremonies $7.50___________

1024 Loose Leaf Binder $5.00_____________

1025 Combination Special #1022, #1023, #1024 All three together $18.00_________

1035 Patron Pin (Silver Plate) $4.50______

1036 Membership Pin (Gold Plate) $4.50______

1040a 5 year Pin 5 years (Gold Plate) $6.50______

1040b 10 year pin 10 years (Gold Plate) $6.50______

1040c 15 year pin 15 years (Gold Plate) $6.50______

1040d 20 year pin 20 years (Gold Plate) $6.50______

1040e 25 year pin 25 years (Gold Plate) $6.50_______

1040f 30 year pin 30 years (Gold Plate) $6.50_______

1040g 35 year pin 35 years (Gold Plate) $6.50_______

1040h 40 year pin 40 years (Gold Plate) $6.50_______

1040i 45 year pin 45 years (Gold Plate) $6.50______

1040j 50 year pin 50 years (Gold Plate) $6.50_______

1040k Post beret All Navy Blue, fully lined with JWV emblem, Size: S,M,L,X-L $25.00_______

1040l National beret Zion Blue, fully lined with JWV emblem, Size: S, M, L, X-L $25.00_________

1040m Department beret Off White, fully lined with JWV emblem, Size: S, M, L, X-L $25.00________

1044 Commander Pin (Gold Plate) $12.00_______

1046 Past Commander Pin (Gold Plate) $12.00________

1052 Past Department Commander Pin (Gold Plate) $25.00_______

1053 Life Member Pin (Gold Plate) $14.00______

1059 Past County Commander Pin (Gold Plate) $25.00______

1061 NEC Pin (Gold Plate) $18.00 _________

1066 Post Cap (Navy Blue) Include Only Lettering (JWV) and Emblem $25.00__________

1067 County Cap (Navy w/purple top) Include Only Lettering (JWV) and Emblem $25.00__________

1068 National Cap (Zion Blue) Include Only Lettering (JWV) and Emblem $25.00_________

1069 Department Cap (White) Include Only Lettering (JWV) and Emblem $25.00___________

1070 Patron Cap (Navy w/Green Piping) Include Only Lettering (JWV) and Emblem $25.00__________

Specify Size of Cap/Berets, in text field at right.

1071 Additional Lettering or Numeral on Cap (One name per order) Each additional $0.70______________

1072 Specify Additional Lettering or Numeral on Cap, in text field at right.___________________

1073 Strip - each Additional Numeral or letter color: Post____________ $0.60____________________

1073 Strip - each Additional Numeral or letter color: County_______________ $0.60______________________________

1073 Strip - each Additional Numeral or letter color:_______ National $0.60__________________

1073 Strip - each Additional Numeral or letter color:______ Department $0.60____________________

1073 Strip - each Additional Numeral or letter color: Patron $0.60__________

1074 Zippered plastic cap cover $4.00___________

1075 Loaner caps (Unlined with lettering - JWV) $7.00_________________

1075 Loaner Caps (Unlined with lettering - JWV) $7.00 ___________________

1075 Loaner Caps (Unlined with lettering - JWV) $7.00______________

1086 Certificate of Merit $0.70 ea. for 1-5_______________

$0.60 ea. for 6-11______________

$0.55 ea. for 12+ ______________

1087 Certificate of Appreciation $1.50 ea. for 1-5____________

$1.40 ea. for 6-11____________

$1.30 ea. for 12+_______________

1094 Cap Emblem 2.25" $5.00___________

1095 Shoulder Emblem 4" $6.00______________

1096 Decals2" (Amt 3) $2.75_____________

1097 Decals4" (Amt 3) $3.20________

1098 Decals 6" (Amt 3) $5.10___________

1150 Commander Medallion $30.00___________

1151 Past Commander Medallion $30.00_______

1152 Americanism Medal (Bronze) $13.00_______

1153 School Award $23.50__________

1200 Plastic Poppies (White/Blue) Per 1000 (addtl $9.50 S&H charge per 1000) $100.00____________

1201 Plastic Poppies (Red/Green) Per 1000 (addtl $9.50 S&H charge per 1000) $100.00__________

1202 Crepe paper Poppies Per 1000 (addtl $9.50 S&H charge per 1000) $120.00___________

1300 Canister with label $1.25__________

1301 Label (w/out Canister) $0.50______________

1302 Canister (w/out label) $1.00_____________

1400-1403 Gravemarkers (Plastic w/ Aluminum rods) $7.00 ea. for 1-5_________

$6.50 ea. for 6-10____________

$6.25 ea. for 11-15____________

$6.00 ea. for 16+______________

J-1 Navy Nylon (unlined) Shell Jacket w/JWV Emblem M $24.95______________

J-1 Navy Nylon (unlined) Shell Jacket w/JWV Emblem L $24.95________________

J-1 Navy Nylon (unlined) Shell Jacket w/JWV Emblem XL $24.95________________

Subtotal:___________

Check here if you are a D.C. resident.________

(DC Residents add 5.75% sales tax.):______________________

Postage and Handling for Caps:______________

Postage and Handling for all other merchandise:________________

Total:___________

* Billing Information

* Full Name:______________________________________________

* Street:_________________________________________________

* City: __________________________________________________

* State:__________________________________________________

* Zip: __________________________________________________

Country:__________________________________________________

Business Number:__________________________________________

FAX Number:_______________________________________________

*E-Mail:__________________________________________________

Delivery Address (If different than billing address)

Name:________________________________________________________

Street:______________________________________________________

City:________________________________________________________

State:_______________________________________________________

Zip:_________________________________________________________

Country:_____________________________________________________

*Please remit payment immediately following submission, order will processed upon receipt of your payment.

JWV National Headquarters

Attn: Supply Department

1811 R Street, NW

Washington, DC 20009

Waco, Texas 76705

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