A PROJECT TO REMEMBER AND COMFORT THE FAMILIES OF 
OUR FALLEN SOLDIERS AND VETERANS

ORDER FORM

Yes, I would like to purchase a Gift of Comfort Box for:  (please check)

 

____      Fallen Soldier’s Parents    ____   Fallen Soldier’s Spouse      _____ Fallen Soldier’s Family

 

____       Veteran’s Parents               ____       Veteran’s Spouse                ____    Veteran’s Family

 

______  I don’t have a name or address for a particular family, but I would like you to send a box to

 A family on your list

 

I understand that each box costs $100 which includes shipping.  And that this gift is not tax deductible.

 

*   Please send it in remembrance of: _______________________________

 

* To: _____________________________________________________

 

* Address: _______________________________________________

 

* City: __________________________________________________

 

* State: _____________________   * Zip Code:  _________________

 

* Telephone # for shipping purposes: _______________________

 

* Please make sure to include this information for each box ordered. 

   Use additional paper if needed and staple together.

 

From: Your Name:  ___________________________________________

 

Address: ______________________________________________

 

City: ________________________              State: ________________ Zip Code: ______

 

Personal Message to be included (if any):  ______________________________________

__________________________________________________________________________

 

 

Total Number of Boxes Ordered:  ______________

 

Check #: _______ Please make sure your name, address and telephone number are on the check.               

 

Total Amount Enclosed:  ___________

 

Make check payable and mail to:

For Our Fallen Soldiers and Veterans Families

P.O. Box 3327

Nashua, New Hampshire 03061-3327

 

Thank you for showing that you care.