Member Merchandise Order Form
Name (print please) NSSAR Number
__________________________________________ _____________________________ ________ ________________
Address City State ZIP
(_________) _________ -________________ ____________________________________________________________
Telephone Number Email Address
Medal Sets ___________ x $50.00 = $__________________
Lapel Pin ___________ x $15.00 = $__________________
Blazer Patch ___________ x $15.00 = $__________________
Merchandise Total = $__________________
Check Payable to: Germany Society
Mail to: Germany Society
Kevin R. Carr
5319 Ridge Rock Avenue, NW
Albuquerque, New Mexico 87114
Germany Society Member Blazer Patch is approximately 4.5 x 3.5 inches and is attached by pins with backs (frogs). The cost of the Germany Society Member Blazer Patch is $15.00.
Germany Society Member Lapel Pin (new) is 5/8 inch in size and is attached to the lapel by pin with back (frog). The cost of the Germany Society Member Lapel Pin is $15.00
Germany Society Member Medal Set includes a standard size medal with a
Germany Society bar and miniature size medal (no bar). The cost for the Germany Society Medal Set is $50.00.
Germany Society Merchandise
(for Germany Society Members only)
Copyright 2018 - 2019 © Germany Society, Sons of the American Revolution. All rights Reserved.
Sons of the American Revolution
Contact the Germany Society at: GermanySocietySAR@gmail.com