Membership Regalia

Blazer Patch ~ $40.00 (Item#1)

Patch

Large Medal ~35.00 (Item #2)

Large Medal

Small Medal ~ $25.00 (Item #3)

1812 Neck Tie ~ $40.00 (Item #4)

Rosette ~ $15.00 (Item #5)

Rosette

Order Item (s)

#1____#2____#3____ #4____#5____

+ $10.00Shipping Total $_________

Name:______________________________

Address:____________________________

City, State, Zip: _______________________

Email:______________________________

Tel: ________________________________

Membership Certificate ~ $75.00 + $15.00 Shipping: Total:__________

Name:______________________________

1812 Ancestor: _______________________

Address:____________________________

City, State, Zip: _______________________

Email:______________________________

Tel: ________________________________

Make Check payable: Veteran Corps of Artillery QM

Print and Mail to:

COL Charles Lucas

2039 Palmer Avenue

Larchmont, NY 10538

Military Society of the War of 1812
Park Avenue Armory, 643 Park Avenue, New York, New York 10021
212-249-3919

The President and Officers of the Society express appreciation to SFC Justin Gorkic, and MSGT Ken Cullen for their assistance in the initial design of the web site.

Webmaster: Tracy Ashley Crocker