Sacramento CERT Uniform Order Form
First Name
*
Last Name
*
FCC Call Sign
E-mail
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Position:
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Member (Level 2)
Member (EMR/Level 1)
Instructor
Chaplain
Other
Uniform Items
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Red CERT T-Shirt (Short Sleeve)
$15.19
$
15.19
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Red CERT Shirt (Long Sleeve)
$18.45
$
18.45
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Red CERT Polo (Short Sleeve, Name/Title/Call Sign)
$18.99
$
18.99
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
White CERT Polo (Short Sleeve, Name/Title)
$18.99
$
18.99
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Black CERT Cap
$8.14
$
8.14
Embroidery Add-On
None
Name Only
Star of Life Only
Name + Star of Life
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
BDU Back Patch
$13.64
$
13.64
Quantity
1
2
3
4
5
6
7
8
9
10
BDU Chest Patch
$6.32
$
6.32
Quantity
1
2
3
4
5
6
7
8
9
10
BDU Name Tape
$3.25
$
3.25
Quantity
1
2
3
4
5
6
7
8
9
10
SFD Shoulder Patch
$5.00
$
5.00
Quantity
1
2
3
Sacramento CERT Shoulder Patch
Free
$
Free
Quantity
1
2
3
Black CERT T-Shirt (Short Sleeve, Chaplain Only)
$15.19
$
15.19
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Black CERT Shirt (Long Sleeve, Chaplain Only)
$18.45
$
18.45
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Black "Sacramento CERT" Jacket
$51.72
$
51.72
Size
S
M
L
XL
XXL
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Lime Green "Sacramento CERT" Jacket (NOT ANSII approved, NOT 5.11 Style)
$51.72
$
51.72
Size
S
M
L
XL
XXL
Item subtotal:
$0.00
$
0.00
Level 2 Badge (Level 1/2 members only)
$52.74
$
52.74
Quantity
1
2
Commendation Bar - Purple Heart
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - ICS Team (Active)
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - Battalion Captain (Active)
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - EMS Member (Active)
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - USAR Team (Active)
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - Communications (Active FCC License)
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - EVOC Driver
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - Veteran
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - Instructor
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commendation Bar - Chaplain
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Enter coupon
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Total
$0.00
$
0.00
Please Note:
Some orders may be held if the total volume is below vendor requirements. If a portion of your order is held, you will be notified via the email address you provided above. Once your order is reviewed and approved, you will be notified of the payment process via email.
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