QUARTERMASTER REQUISTION FORM INTERNATIONAL ASSOC. LEGIONS OF HONOR Effective Date: 1 Jun 2014 Ordered By: IALOH QUARTERMASTER Name: Michael L. Kimbrell Address: 704 Lee Avenue Belleville, IL 62221 618-447-0460 City/State: Zip Code: [email protected] ALL PRICES ARE SUBJECT TO CHANGE Phone #: E-Mail: Shrine Center: ITEM Commander Eagles, Small Gold Commander Eagles, Small Silver Commander Eagles, Large Gold Commander Eagles, Large Silver Past Commander Eagles, Gold Small Past Commander Eagles, Silver Small Past Commander Eagles, Gold Large Past Commander Eagles, Silver Large Cost Qty. $25.00 $25.00 $30.00 $30.00 $25.00 $25.00 $30.00 $30.00 Unit of Issue Set Set Set Set Set Set Set Set Lapel Pin (Commander) Lapel Pin (Emeritus) Lapel Pin (Life Member) Lapel Pin (Past Commander) Lapel Pin (LoH, Large) Lapel Pin (LoH, Medium) Lapel Pin (LoH, Small) $7.00 $8.50 $8.50 $7.00 $5.00 $5.00 $5.00 LoH Medallion LoH Medallion with Ribbon Medallion Ribbon (30") Medallion Wreath $16.00 $18.50 $3.00 $7.50 LoH Gold Button Covers, Large LoH gold Button Covers, Small LoH Collar Tips, Gold 2” LoH Collar Tips, Gold 1” Total $5.00 $5.00 $25.00 $20.00 First Page Total: Shipping Costs (29 Oct 2012) $0.00 - $25.00 = $6.00 $25.01 - $50.00 = $7.00 $50.01 - $75.00 = $8.00 $75.01 - $100.00 = $9.00 $100.01 - $200.00 = $10.00 $200.01 - $400.00 = $12.00 $400.01 - $600.00 = $14.00 $600.01 - $800.00 = $16.00 $800.01 - $1,000.00 = $20.00 Above $1,000.00 = $25.00 NOTE: Shipments to non - US addresses will be charged an additional $10.00 to cover International Shipping rates. NOTE: Add $5.00 to Shipping for paper and envelopes. COMMANDER'S MEDALLION With Year and Shrine Name Order direct from The Green Co. 913-888-8880 Third Page Total: Second Page Total: First Page Total: Merchandise Total: Shipping: Order Grand Total: Make Checks Payable To: IALOH QM Use Only Terms: Payment is due upon placement of order Order #: Rcvd: Sent: Paid: QUARTERMASTER REQUISTION FORM INTERNATIONAL ASSOC. LEGIONS OF HONOR ALL PRICES ARE SUBJECT TO CHANGE ITEM Unit of Issue LoH Black Onyx Cuff Links Set LoH Black Onyx Tie Bar Each LoH Rhinestone Cuff Links Set LoH Rhinestone Cuff Links & Tie Tac Set Shirt Studs with LoH Emblem, set of 4 Set LoH Tassel Holder Canadian Leaf Tassel Holder Each Each LoH Belt Buckle w/ Emblem (Red) LoH Belt Buckle w/ Emblem (Black) White Gloves with Palm Grips (Small/Medium/Large/X-Large) Canadian Flag Pin w/ LoH Emblem Each Each Pair LoH Lariat Tie on Leatherette Cord Lariat Tie w/Silent Messenger Emblem Lariat Tie w/LoH Emblem in Circle Gold French Fold Money Clip Pg 2 Effective Date: 1 Jun 2014 Cost Qty. Total Shipping Costs (29 Oct 2012) $18.00 $0.00 - $25.00 = $6.00 $15.00 $25.01 - $50.00 = $7.00 $14.00 $50.01 - $75.00 = $8.00 $20.00 $75.01 - $100.00 = $9.00 $100.01 - $200.00 = $10.00 $20.00 $200.01 - $400.00 = $12.00 $400.01 - $600.00 = $14.00 $27.00 $600.01 - $800.00 = $16.00 $25.00 $800.01 - $1,000.00 = $20.00 Above $1,000.00 = $25.00 $20.00 NOTE: Shipments to non - US $20.00 addresses will be charged an $12.00 additional $10.00 to cover International Shipping rates. $3.00 NOTE: Add $5.00 to Shipping $15.00 for paper and envelopes. $11.00 $10.00 $12.00 Cloth Pocket Holders with LoH Colors Pocket Holder, White Shirt Patch, 3" Square w/Red Border (LOH) Shirt Patch 3” Round Shoulder Patch 4” Shoulder Patch 5” Flag Patch, Stars on Left Flag Patch, Stars on Right Arlington Wreath Laying Patch Uniform Patch, 2.5”, iron-on $6.00 $7.00 $6.50 $5.00 $5.00 $5.00 $3.00 $3.00 $6.00 $1.50 LoH ID Badge w/Name Plate $7.50 LoH Car Emblem American Flag Car Emblem LOS NA Car Emblem $5.00 $5.00 $6.00 Second Page Total: QUARTERMASTER REQUISTION FORM INTERNATIONAL ASSOC. LEGIONS OF HONOR ALL PRICES ARE SUBJECT TO CHANGE ITEM Unit of Issue Dues Cards Sheet/8 Blank Business Cards w/ LoH Emblem Sheet/10 Life Membership Cards Place Setting Cards Greeting Cards (Thank You, Condolences, Get Well) Birthday Card w/ LoH Emblem Award Certificates with Color Emblem LoH Letterhead per Sheet LoH Envelopes, Letter Size Stickers w/ LoH Emblem, 25/sheet Current Yearbook Back Issue Yearbook LADIES JEWELRY LoH Emblem on Bow Pin LoH Butterfly Pin LoH Rhinestone Butterfly Pin LoH Emblem on Cloverleaf Earrings LoH Emblem on Cloverleaf Pin LoH Emblem Pierced Earrings on Long Dangles LoH Emblem on Horseshoe Earrings LoH Emblem on Horseshoe Pendant Wave Pin w/ LoH Emblem Purse Holder w/ LoH Emblem LOSNA Pin MISC LAPEL PINS Lapel Pin (Circus Daddy) Lapel Pin (Black Camel) Lapel Pin (Shrine/Mason) Lapel Pin (Shriners Support the USA) Lapel Pin (USA/Canada Shriners) Canadian Flag Pin w/ LoH Emblem Lapel Pin (Shrine/USAF) Lapel Pin (Shrine/USMC) Lapel Pin (Shrine/Army) Lapel Pin (Shrine/Navy) Pg 3 Effective Date: 1 Jun 2014 Cost Qty. Total Shipping Costs (29 Oct 2012) $1.20 $0.00 - $25.00 = $6.00 $2.00 $25.01 - $50.00 = $7.00 $0.20 $50.01 - $75.00 = $8.00 $0.05 $75.01 - $100.00 = $9.00 $0.60 $100.01 - $200.00 = $10.00 $0.60 $200.01 - $400.00 = $12.00 $1.75 $400.01 - $600.00 = $14.00 $0.15 $600.01 - $800.00 = $16.00 $0.12 $800.01 - $1,000.00 = $20.00 $3.00 Above $1,000.00 = $25.00 NOTE: Shipments to non - US $20.00 addresses will be charged an $5.00 additional $10.00 to cover International Shipping rates. $15.00 $10.00 $20.00 $17.50 $15.00 $20.00 $17.50 $15.00 $15.00 $8.00 $6.00 $8.50 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 Third Page Total: NOTE: Add $5.00 to Shipping for paper and envelopes.
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