"Custom Wall Plaques"
Order Form
Fill out the form and then choose "Print" from the FILE menu to print this form, or
choose credit card payment. Mail it with your patch, badge or photograph
along with check or money order payable to:
Joseph F. Vavra,
46 Windward Court, Port Orange, Fl., 32127
PLEASE DO NOT MAKE CHECK OUT TO CUSTOM WALL PLAQUES!
Patch Plaques - $39.95 Photo Plaques - $49.95
Badge Plaques - $69.95
IMPORTANT NOTE: What you submit will dictate how good the final product
looks. Make sure to send good quality, clean or new patches. Badges will be photographed and returned within three
days of receipt and sent back to you while your badge/plaque(s) are being processed. Allow 4-6 weeks for delivery.
PLEASE DO NOT FOLD, BEND, STAPLE, OR PAPER-CLIP PATCHES OR
ART WORK!