POW/MIA Bracelet Order Form

Please make your selection below and then print this form out on your printer.

Random Pick of a POW/MIA Name

*Large will be shipped if no choice is made
After printing, complete this form and mail with your remittance to:
Stemarco Engraving
1908 E. 7th Street
Odessa, TX 79761

Ship to:

Name: __________________________

Address: ________________________

City: ___________________________

State, ZIP: ____________________

Bracelet Cost: ____________________
Texas Residents add
sales tax 8.25%: ___________________

Shipping: ________________________
US Postal Service - $2.00
UPS - $4.00

Total: ___________________________

Visa and MasterCard Accepted Account #: _________________________

Expiration Date: ____________________

Signature: _________________________

Any questions concerning the bracelets, multiple bracelet orders or family discounts should be directed to Stemarco Engraving at (915) 334-6900.
Delivery approx 4-6 weeks

Ship to: Name: __________________________ Address: ________________________ City: ___________________________ State, ZIP: ____________________	Bracelet Cost: ____________________ Texas Residents add sales tax 8.25%: ___________________ Shipping: ________________________ US Postal Service - $2.00 UPS - $4.00 Total: ___________________________
Visa and MasterCard Accepted	Account #: _________________________ Expiration Date: ____________________ Signature: _________________________