We carry the above EMS patches and First Responder pin in stock and are ready to ship. To place an order, print this page and complete the form below and enclose a copy of your certification. 10% discount if order 20+. Mail order form to: TM Emblem • 17039 Mercantile Blvd. #311 • Nobleville, IN 46060• Phone: 317-257-1424 • 1-800-942-5454 • FAX: 317-257-1425
NAME____________________________ ADDRESS____________________________
CITY________________________ STATE ________ ZIP ________ CERT.# ____________
PHONE ____________________________ FAX ________________________________
Item _______________ Quanity _______________ X Price __________ = _____________
Item _______________ Quanity _______________ X Price __________ = _____________
5% SALES TAX ________________
Postage ___________________
Total Amount Due $1.00
Please pay by check or money order made payable to TL Emblem. We'll accept all major credit cards with minimum of $15.00 purchase. *** Don't see what you want? Call us, we probably have it. ***
Credit Card # ____________________________________ Exp. Date _____________________ ** Please allow 1-2 days after we receive your order for shipment.
