PATCH SHOP

TO ORDER PATCHES

Fill out and PRINT this FORM
Once you're printed the filled out order form pleease send it with a check to:


Jan Wallace
2824 217th Street
Ft Madison IA 52627
319-372-7619
OR
Send the form and use the link below to pay via PayPal
 
See the Patches
 
Once you're printed the order form, filled it out, and then sent it, you can use the following link to pay for your order on-line via PayPal:
PayPal Payment Page
Individual Of the Year Patch