Dr. John H. Prey DELTA SIGMA DELTA FRATERNITY 296 15th Ave

Delta Sigma Delta Jewelry Order Form
Last Name
Middle Initial
Street Address
Street Address
City
State
Work Phone
Print Form
DELTA SIGMA DELTA
Home Phone
First Name
Zip Code
eMail
$ 20.00
DSD Graduate Blazon
4' x 3"
$ 5.00
$ 6.00
DSD Undergraduate
Patch 2 3/4 " dia
$
DSD Undergraduate
Utley Pin
$ 6.00
10K DSD Graduate
Chapter Pin
$ 197.00
10K DSD Drop Letters
only
$ 46.00
10K DSD Undergraduate
Chapter Pin
$ 175.00
DSD Crest Lapel Pin
$
11.00
DSD Monogram Pin
$
8.00
DSD Cumberbun set
$
50.00
DSD Pledge Pin
$
8.50
DSD Tie
$ 20.00
DSD cufflinks
DSD Supreme Chapter
Utley Pin
5.00
select one
pretied bow tie
or
self tie bow tie
DSD Scarf
$
29.00
ADD $10.00 for shipping
Return to chapter officer or deputy to be sent to:
Dr. John H. Prey
DELTA SIGMA DELTA FRATERNITY
296 15th Ave.
Nekoosa, WI 54457
Please retain a copy of this letter for your records

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