DOGTAG HEADQUARTERS
Order Form
Please fill out form and hit submit or print and mail with check

USPHS Receive free silencers when ordering "Polished Military Stainless" steel tags

Polished Military Stainless $8.00 Pair
Dull Military Stainless $8.00 Pair
Matte Black Finish $9.00 Pair
Solid Brass $10.00 Pair
Optional Silencers $2.00 Pair
Luggage, Key, Pet Tags $5.00 Each
Medical Tag $7.00 Each
Shipping & Handling $2.00
Total
First Name      
Last Name        

Address         
                
City             State 
Country         
Zip/Postal Code  


Phone           
Fax             

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Please type (or print) what you 
would like imprinted on your dogtag:

Recommended Dogtag info per military format:
Last NameSmith
First Name     MIJohn L
SSN123-45-6789
Blood TypeB Pos
ReligionCatholic

Standard tag:
Max 16 characters per line,
maximum 5 lines





**Include letters and spaces**
Medical tag:
Max 15 characters per line,
maximum 1 line

**Include letters and spaces**

Card Number - - -
Expiration Date Card Type

Name on Card

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