The Green Hornets
Patch Order Form

Order your Green Hornets patch right here!

Each Green Hornet patch is $13.99 postpaid in the US.  Please add $5 for international shipment!

Green Hornets Patch Order Form: Please fill in completely



Your Full Name:
Address:
City:
State:
Your Zipcode:
NOTE: If your email address ends with @aol.com or @yahoo.com, enter email@chazcone.com in
"E-mail" below.  Then enter your @aol.com or @yahoo.com email address in E-Mail 2 below.

If your email address does NOT end in @aol.com or @yahoo.com, just enter it in "E-Mail" below and
leave "E-Mail 2" blank.

E-Mail:
E-Mail 2:
Your Green Hornets Number:
Number of patches wanted:
Total amount to be charged: $
Choose payment method: Paypal  Check
Comments:
(optional)

After you click the "SUBMIT" button below, you'll be taken to another screen with payment options.   Remember the number of patches you want!

If you have any problems submitting your Green Hornets Patch Order Form, click to email me about your problem.

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