Unit: _________________________
Date:_____________
Request For The Following Patch To Be Reversed
For Wear On The Right Arm - "COMBAT"
____________________________________
Write
Unit (ie 11th ACR) Here
Date Required For
Issue: _________________
Request For Patch
To Be Made In The Following Formats:
1.
DESERT
Quantity ________
2.
SUBDUED
Quantity
________
3.
COLOR
Quantity _________
POC This Request:
____________________________
PLEASE
PRINT
Contact
Phone # (_____)________________________
AREA
CODE
Email Address:
_______________________________
Patches
1 -399 Cost $3.00 Each - 400 - 999 Cost $2.00 Each
- 1,000 or more Cost $1.50 Each