BUDDY POPPY ORDER FORM v5

BUDDY POPPY ORDER FORM
Date

MonthDayYear
Date request for pick up*

MonthDayYear
Requester Name*
Post #
Aux #
Phone #
Format: (000) 000-0000.
Requester Email
# of Poppies (in count of 10)
X .26 per Poppy
# of Poppy Tins (in count of 25)
X .14 per Poppy Tin
Total Poppy Cost
PLEASE SEND PAYMENT ALONG WITH THIS ORDER AND MAKE CHECKS PAYABLE TO:

VFW DEPARTMENT OF DELAWARE

Mail to:

Department Quartermaster Mark M. Newman
348 David Hall Road
Dover, Delaware 19904
Email: vfwdehq@gmail.com
Phone: 302-526-0993
Should be Empty: