400 3.5 Service Shield

LA Shield with Passport

 

Dimensions 3 1/2" H X 5" W
Glass Bead  Lettering                 $25.00 + S&H
Debossed hand Filled Lettering   $32.00 + S&H
 
Use the order form below.

Available in the following colors.

Contact Information
First Name
Last Name
Company Name
Phone Number  --
Cell Phone Number  --
Fax Number  --
E-Mail Address

Billing Information
Credit Card Number  ---
Visa   M/C       Expiration Date  (mmyy)     3 Digit V #

Billing Address
Name on Card
Billing Street Address
Billing City
Billing State
Billing Zip Code

Shipping Address
Ship to
Ship to Street Address
Ship to City
Ship to State
Ship to Zip Code

400 LA Style Service Shield
Shield Mount  Velcro Bolt on  
Shield Color  (choose one)   Black   Red  White Flag
Panel 1 Color (choose one) Black   Red  White
Panel 2 Color (choose one) Black   Red  White
Panel Lettering (choose one)  
Glass Bead Reflective (max 16 characters)
Debossed Hand Filled (max 10 characters) 
Color of Characters
Panel 1 Fill in Lettering
Panel 2 Fill in Lettering
Additional Instructions