
Print and complete this form to order by mail
Silver: $20.00 X _____ = $_________
Golden Bronze: $3.00 X _____ = $_________
Oxidized Bronze: $4.00 X _____ = $_________
All 3 as a Set: $25.00 X _____ = $_________
* Postage * $________*
Total Order $_________
* Postage is $0.60 per individual medal, $0.83 per two, $1.10 per three (and $1.10 per set).