50th Banquet Merchandise Order Form

50th T-Shirt & Commemorative Coin Order Form

Your Information

First Name *

Last Name *

Email *

Shipping Address *

Shipping Address

Shipping Address

Shipping Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

50th Banquet T-Shirts

All proceeds for any T-Shirts purchased will be accepted as donations to help us fund our various annual efforts such as Active Squad Care packages, annual gifts/donations to the Active Squad, and much more!

T-Shirt (Adult Small) *

Each T-Shirt is $16.99, regardless of size.

T-Shirt (Adult Medium) *

Each T-Shirt is $16.99, regardless of size.

T-Shirt (Adult Large) *

Each T-Shirt is $16.99, regardless of size.

T-Shirt (Adult XL) *

Each T-Shirt is $16.99, regardless of size.

T-Shirt (Adult 2XL) *

Each T-Shirt is $16.99, regardless of size.

T-Shirt (Adult 3XL) *

Each T-Shirt is $16.99, regardless of size.

Please check the box only if you attended the 50th Banquet and did not receive a T-Shirt.

I am checking this box because I attended the 50th Banquet and did not receive a T-Shirt.

T-Shirt Subtotal $

LMAA/VTRS 50th Banquet Commemorative Challenge Coins

All proceeds for any commemorative challenge coins purchased will be accepted as donations to help us fund our various annual efforts such as Active Squad Care packages, annual gifts/donations to the Active Squad, and much more!

LMAA/VTRS 50th Banquet Commemorative Challenge Coin *

Each commemorative challenge coin is $8.99.

Please check the box only if you attended the 50th Banquet and did not receive a challenge coin.

I am checking this box because I attended the 50th Banquet and did not receive a challenge coin.

Challenge Coin Subtotal $

Would you like to include your $25 annual dues in your total payment? *

Yes

No

If you would like to include an additional donation to help support initiatives like the CARE team and gifts to the active squad, please use the field below to enter a whole-dollar amount.

Total Payment Due (including $6.99 shipping fee) $

PLEASE NOTE: Payment will occur after you submit the form. You will be redirected to a payment page.