VFW DEPARTMENT OF WISCONSIN BUDDY POPPY ORDER FORM

VFW DEPARTMENT OF WISCONSIN BUDDY POPPY ORDER FORM
** All Buddy Poppy Orders REQUIRE a VFW Membership ID and shipped to that VFW Members address.
Post/Aux No.
District
Date Ordered

MonthDayYear
Date
Ordered by (Name):
Post/Aux Position
*VFW Membership ID#
Ship to (Name):
Street Address:
CANNOT SHIP TO POST OFFICE BOX NUMBERS
City, State, Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
Email
example@example.com
Date Wanted:

MonthDayYear
Date

Buddy Poppy Order

Form of Payment
Legacy Order Total
Tin Tab Order Total
Order Sub Total
Processing Fee
Order Total
Payment Amount ($)
Amount Paid ($)
Make all checks payable to: VFW
DEPT OF WISONSIN
Earmark: Buddy Poppies
to:
VFW OF WISCONSIN
P.O. BOX 6128
MONONA, WI 53716-0128
Remit payment with this order form. Shipping cost is included in the price of the Buddy Poppies. Expect orders to be delivered within three (3) weeks of date order received.
Amount Due ($)

prevnext( X )
USDDescription

Debit or Credit Card

Choose from one of the PayPal options to make your payment.