NAME:_____________________________________________________

ADDRESS:__________________________________________________

CITY:_________________________STATE:______ZIP:_____________

COMPLETE SUMMER UNIFORM INCLUDES:
Insignia unique to Grand Encampment Officers and members (PGC)
        GARRISON CAP W/CROSS $90.00
        SIZE:______  (This cap also authorized for wear with Class A Uniform)
        SUMMER SHIRT (circle choice)  short sleeve    long sleeve    28.00
(circle your size)    SMALL   MED   LARGE    XLG   
2XL (add $5.00)   3XL (add $5.00)  4XL (add $10.00)  5XL (add $10.00)
        SHOULDER BOARDS 12.00
        COLLAR INSIGNIA 28.00
(circle choice)    KT - USA  or        KT -  State______
PLAIN BLACK NECKTIE 10.00
        (circle choice) REGULAR          CLIP-ON
        KT TIE CLASP  (with PGC emblem)  12.00 - 14.00
        (circle choice)   PLAIN          GRAND ENCAMPMENT
KNIGHT TEMPLAR          State________________
        METAL RIBBON BAR (optional, see note below)15.00
        NAME PLATE 18.00
(print your name)______________________________________
        SHIPPING AND HANDLING                             8.00
TOTAL INDIVIDUAL COST     $221.00  to  $223.00

        SPECIAL PRICE          $200.00
KNIGHT TEMPLAR (Armed Forces)VETERANS MEDAL ADD    $5.00
SPECIAL PRICE VALID THIS OFFER ONLY(effective March 1, 2007)

Make check to: Milford Commandery No. 11
Mail to:  PO Box 321, Ashland, MA 01721-0321

THIS UNIFORM SALE IS A FUND RAISING PROJECT
OF MILFORD COMMANDERY No. 11, Milford, Massachusetts
ALL OF THE PROFITS GO TO THE KNIGHT TEMPLAR EYE FOUNDATION

Note: A miniature MALTA Jewel is available and may
be substituted for the Metal Ribbon Bar.
(CIRCLE HERE) if you wish this choice