Dog Tag Order Form

USS COBIA “The Nation’s Most Completely Restored WWII Submarine” Overnight Education Program

Dog Tag Order Form

Leader’s Name Group

Address

City StateZip

Phone # Date of your Overnight visit

Number of dog tags ordered

Each dog tag is only $5.25(+ 5% tax unless you provide a tax exempt number*) and includes your choice of wording and color of silencer. All dog tags are locally printed in Manitowoc, WI. Tags are US made and will not rust. Longer names can be printed on two lines.

Example:Name

USS COBIA (SS 245)

Date (year, month, day)

Silencer Color:Solid: Black Pink Purple Yellow Orange Green Red Blue Clear Special: Camouflage Red/white/blue Camo Rainbow Camo

Payment Included: _____ Check_____ Credit Card

Credit Card # Exp /CVV (3-4 digits on back)

Billing Address Street

City State Zip

Signature______

* Tax Exempt #

Orders must be placed no later than 14 days prior to your Overnight visit. All orders must be placed as a group, not individually. Mail, e-mail or fax order forms to:

Wisconsin Maritime Museum

C/O Mike Johnson

75 Maritime Drive

Manitowoc, WI54220

Fax: (920) 684-0219 - Attn: Mike

Print each name in the squares below as it should appear on each dog tag. PLEASE PRINT CLEARLY to ensure accuracy!

(Longer names can be printed on two lines. Maximum of 16 characters per line, spaces include against the 16)

Silencer Color:Solid: Black- Pink- Purple- Yellow- Orange- Green- Red- Blue- Clear- Special: Camouflage- Red/white/blue Camo- Rainbow Camo-

Silencer Color:Solid: Black- Pink- Purple- Yellow- Orange- Green- Red- Blue- Clear- Special: Camouflage- Red/white/blue Camo- Rainbow Camo-

MJ 6-11