Statue Purchase Form

Place your order now for only $15!

First name

Last name

Mailing Address

What branch of service were you in?

What years did you serve? (ie 1960-1999)

Rank at the time of discharge (ie 2LT, PV2)

Add answer here

Special Instructions

Thanks for your order!

Place your order at cost for the statue ($60), plus shipping. Please allow 3-4 weeks for processing and shipping

First name

Last name

Phone Number (Cell or Landline)

Mailing Address

What branch of service were you in?

Rank at the time of discharge (ie 2LT, PV2)

Medals (We can get 2 medals or 1 shoulder/ships patch on the Name plate. How ever what you request must have a link to a image on the internet

Select Payment Option

Credit Card

Personal Check

Money Order

What years did you serve? (ie 1960-1999)

Conflict: (What conflict era did your serve ie WWII, Korea, Vietnam, Guf War, Cold War, GWOT etc)

Special Instructions/Image Internet links

Thanks for your request. We will contact you with the total price