Buddy Poppy Order Form

Buddy Poppy Order Form

This Order form for poppies may be used ONLY by VFW Post within the Department of Louisiana
Name*

First NameLast Name
Post/Auxiliary*
VFW Membership #:*
E-mail*
Phone Number:*
Shipping Address (NO PO BOX!)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
We now require a MINIMUM OF 500 Buddy Poppies for each order!

Example: If you need to order 3,000 Buddy Poppies then you would put the NUMBER 3 in the BOX next to Quanity per 1,000.

Buddy Poppy Order: *

Original Buddy Poppies

1,000 Buddy Poppies$290.00

Quantity per 1,000
Item subtotal:$0.00

500 Buddy Poppies$145.00

Quantity per 500
Item subtotal:$0.00

Metal Tab Buddy Poppies

1,000 Metal Tab Poppies$160.00

Quantity
Item subtotal:$0.00

500 Metal Tab Poppies$80.00

Quantity
Item subtotal:$0.00

Subtotal $0.00Tax $0.00Total $0.00