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Military Pins, Coins and other Collector Items Application Form

1. Complete this form in full. ( Click here to email amerwar@amervets.com if you have any technical problems sending this Application Form after you have completed it )

2. Print a copy of this form for yourself, then email the completed form by clicking the button, below...



SELECT THE PIN, COIN OR ITEM YOU WANT

All items are $10.00 each plus $8.90 USPS shipping.
(There is no shipping fee when an item is shipped with a Certificate)

Vietnam War USPS STAMP
Antique. Original Edition. Printed 1979

Vietnam War Wallet CARD
58,000 names on 2"x3 1/2" microfiche
Pulished 1982
196th Field Arty Bgd, COIN
(Only 1 left)
U.S., PIN
(22 left)
Amer. Defense Preparedness, PIN
(Only 1 left)
Army Ordnance, PIN
(Only 1 left)
Go For Broke, MEDALLION
(Only 1 left)
OP Iraq Freedom, Redstone/Huntsville Chapter, COIN
(Only 1 left)
Warrior Ethos/Army Values, DOGTAG
(Only 1 left)
To Conserve Fighting Strength, PIN
(Only 1 left)
This We'll Defend, PIN
(Only 1 left)
Service, Not Glory, PIN
(11 left)
Wisdom, Achievement, Character, PIN
(Only 1 left)
US Army, PIN
(Only 1 left)
Semper Fi, Community Task Force, COIN
(Only 1 left)
US Army Retired, PIN
(Only 1 left)
Go For Broke, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Missilery Excellence, PIN
(Only 1 left)
Austrasie, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Ecole Militaire, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Mission, Support, Success, PIN
(Only 1 left)
TW, PIN
(Only 1 left)
Aviation & Missile Cmd, Redstone, COIN
(Only 1 left)
Merit, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Freedom's Fortress, PIN
(Only 1 left)
Ordnance, Army PIN
(Only 1 left)
TW-2, PIN
(Only 1 left)
Ordnance Corps, PIN
(Only 1 left)
442nd Inf Regt, PIN
(9 left)
USA HAC, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Ut Adjuvemus, PIM
(Only 1 left)
I Am Ever Prepared, PIN
(Only 1 left)
Merit De Molay, PIN
(Only 1 left)
Leadership, PIN
(Only 1 left)
Sword of Freedom, PIN
(Only 1 left)
Opus Sapienter Tractare, PIN
(Only 1 left)
Army Retired, PIN
(Only 1 left)
St Christopher (antique), COIN
(Only 1 left)
Arsenal for the Brave, PIN
(Only 1 left)
Scientia Ad Justitiam, PIN
(Only 1 left)
Osterreiche Schlschule III, PIN
(Only 1 left)
Army Ordnance, PIN
(Only 1 left)
Munitions & Electronics (Army), COIN
(Only 1 left)
Service, Not Glory, PIN
(Only 1 left)
19th (unit Army), PIN
(Only 1 left)
Vietnam 1969, PIN
(Only 1 left)
SAIC, Supporting Our Troops, COIN
(Only 1 left)
Vietnam, Calif Memorial, PIN
(Only 1 left)
AUSA, Redstone Huntsville Chapt, COIN
(Only 1 left)
TMDE Support GP, COIN
(Only 1 left)
Unknown Tie Pin
(Only 1 left)
Navy Anchor, PIN
Antique, WW2
(Only 1 left)
Humvee Tie Pin
(Only 1 left)
Unknown Tie Pin
(Only 1 left)
Unknown Tie Pin
(Only 1 left)
15th Ordnance Bn, COIN
(Only 1 left)
Dept of the Army, COIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
U.S. Enlisted, Lapel pin
Antique.
(10 left)
Flight Engineer, Large, PIN
(Only 1 left)
Flight Engineer, Small
(Only 1 left)
Bradley fighting Vehicle, BELT BUCKLE
(Only 1 left)
American Flag, PIN
(Only 1 left)
Whistle, WW2 Era
(Only 1 left)
Pilot/Aircrew, PIN
(Only 1 left)
We Lead, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
BTIM, PIN
(Only 1 left)
Navarre Sanpeur, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
Austrasie RTM8, PIN
(Only 1 left)
Uncontre Dix 89, 26 Jun 1989, PIN
(Only 1 left)
Regiment De, Neuf Brisbach, PIN
(Only 1 left)
Unknown, PIN
(Only 1 left)
VII Region Militaire, PIN
(Only 1 left)
26th Nancy, PIN
(Only 1 left)
Army Air Force, Enlisted, PIN
(Only 1 left)
San Diego Exposition, TIE PIN
(Only 1 left)
Unknown
(Only 1 left)
Air Transport Service Lighter
Antique. Requires fluid and flint.
(Only 1 left)

(Only 1 left)
Military Payment Certificate, 25 cents
(Only 1 left)
Military Payment Certificate, 10 cents
(Only 2 left)


VETERAN'S LAST Name:

FIRST Name (as it appears on the Report of Separation):

MIDDLE name (as it appears on the Report of Separation):
Title (Must appear on military documentation):Jr Sr II III IV


Rank Title (Please Do Not Abbreviate):


I have not moved. My current address info is on file from a previous application

Street Address:

City:
State:
ZipCode:
Phone (NO SPACES OR DASHES):

Full and complete contact email address:


SERVICE NUMBER:

  • Enter the veteran's FIRST FOUR DIGITS ONLY (Do Not enter any alphabet letters. Numbers only.) 
  • Enter the SECOND FOUR (or remaining) DIGITS ONLY  

  • If you are sending a check or USPS money order please indicate:

  • I will mail a check along with my application and documentation
  • I will mail a USPS money order along with my application and documentation
  • Charge or Debit Card applicants, please complete the following:

    Your Name as it appears on your charge or check debit card:

    Payment Method
    Check Debit
    Visa
    MasterCard
    American Express
    Discover
    Diners Club
    Carte Blanche

    Card number:
    Expiration Date
    Card Verification Number (CVV Code) (See below)
    American Express: 4 digits on front of card
    All other cards, 3 digits on back


    After printing this form for mailing, please sign here:

    International shipping cost (U.S. veteran living outside the United States, please add the shipping cost you were quoted...


  • Yes, add 20 cents to my total
  • No, I don't want to track my package

  • Your Application Form is now complete. After clicking the grey-bar button below to send this Form you will soon receive a confirmation email

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    Records Chief (REC-AMW)
    The American War Library
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    Phone: 1-562-422-4100 (Pacific Time Zone)

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