Note: This is NOT an electronic order form. Print a copy and mail or fax to:

Lancer Militaria
PO Bo
x 1188
Mt. Ida, AR 71957-1188
USA

tel 870/867-2232 or fax 870/867-3431

 

Name ______________________________________________

Address_____________________________________________

___________________________________________________

___________________________________________________

Daytime phone_______________________________________

Check_____ Money Order_____

Credit Card:____________________________Exp. Date________

Please send:

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

___________________________________________$___________

Shipping___________

TOTAL ENCLOSED $_______________

Please add shipping - less than $20.00, $4.00. $20.00-39.99, $5.00. $40.00+, $6.00

Above for US customers only. Overseas customers: minimum foreign shipping charge is US $9.50 or actual shipping, whichever is greater.

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