Dondero, Incorporated

P.O. Box 59 | Brownsburg, VA 24415

Email: | Website:

Fax: 540.348.6293 | Cell: 540.348.6753

ASMC ORDER FORM

INFORMATION IS NOT SECURE | Email or FAX TO 540.348.6293

CHAPTER NAME:

CREDIT CARD INFORMATION:

Card Number
Expiration Date
Security #
Card Holder
Signature

Credit Card Mailing Address if different from ship to address:

Name
Address
City / State / Zip

CONTACT INFORMATION:

Name
Daytime Phone #
Email Address
Fax #

SHIP TO:

Name
Address
Address
City / State / Zip
  • SHIPPING & HANDLING- 10% of Subtotal [min. charge $12.50 / max. charge $40.00]
  • We ship our orders via UPS so that we can easily track your order. These can be delivered to street address only.

PAYMENT:

  • For your convenience, we ACCEPT ONLY Visa MasterCard credit cards, checks or money orders.
  • Credit card information is not secure to send by email or fax. Send your completed order form, then call us with your card information
  • Virginia Sales Tax is applicable for all orders shipped to a Virginia address.

Other Information

  • Some items are shown on web site, but do not show on our order form. Please contact us for prices of items not listed on order form.

ALL PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE

Virginia Sales Tax is applicable for all orders shipped to a Virginia address.

Item / Description / Quantity / Price / Amount
Membership Lapel Emblems
4192 / President’s Tackette / $6.50
4192PP / Past President’s Tackette / $6.50
4869GA5062A / Membership Tackette / $6.50
4244GP5050FC / Membership Tackette / $6.50
4244GP5051FC / Membership Charm / $6.50
4869GA5062B / 5 Years Tackette / $6.50
4869GA5062C / 10 Years Tackette / $6.50
4869GA5062D / 15 Years Tackette / $6.50
4869GA5062E / 20 Years Tackette / $6.50
4904GA/GRN / Life Member Tackette / $6.50
Medallions
DND087GA / 1.5" Gold Antique Finish / $9.50
DND087SA / 1.5" Silver Antique Finish / $9.50
DND087BO / 1.5" Bronze Antique Finish / $9.50
4549GA / 1.75" Gold Antique Finish / $12.50
4549SA / 1.75" Silver Antique Finish / $12.50
4549BO / 1.75" Bronze Antique Finish / $12.50
4243GP / 1" Enameled Disc Logo / $6.50
4262GP / 3" Enameled Disc Logo / $7.50
3038AC / Wreath Frame for 3" Disc above / $6.50
5000 Series Gifts
4549BO5004BL / Navy Ceramic Coffee Mug w/ 1-3/4" Medallion / $22.25
4549BO5010 / Walnut Desk Nameplate w/ 1-3/4" Medallion / $18.85
5000 Series Plaques
4549BO5009 / 5x7" Walnut Plaque / small plate
with 1-3/4"Medallion / $21.15
4549BO5012 / 6x8" Walnut Plaque / small plate
with 1-3/4" Medallion / $23.70
4549BO5102 / 7x9" Walnut Plaque / small plate
with 1-3/4" Medallion / $23.35
4549BO5008 / 5x7" Walnut Plaque / full plate
with 1-3/4" Medallion / $23.50
4549BO5011 / 6x8" Walnut Plaque / full plate
with 1-3/4" Medallion / $27.45
4549BO5101 / 7x9" Walnut Plaque / full plate
with 1-3/4" Medallion / $24.10
Engraving
5952AC / Engraving on plaques and gifts | per character / $.13
5910AC / Engraving on medallions | per character / $.20
Subtotal
Virginia Sales Tax
Shipping & Handling
TOTAL

SHIPPING & HANDLING-

10% of Subtotal | minimum charge $15.00 / max. charge $40.00

Dondero, Incorporated

P.O. Box 59 | Brownsburg, VA 24415

Email: |Website:

Fax: 540.348.6293 | Cell: 540.348.6753

Tackette:

Membership

4192
President /
4192PP
Past President /
4869GA5062A
Membership /
4244GP5050FC
Membership /
4244GP5051FC
Membership Charm
Years of Service

4869G5062B
5 Year /
4869G5062C
10 Year /
4869G5062D
15 Year /
4869G5062E
20 Year /
4904GA/GRN
Life Member

Medallions

1.50”
DND087GA
Gold Antique Finish / DND087SA
Silver Antique Finish Gold Antique Finish / DND087BO
Bronze Antique Finish / DND087
Engraving Back
1.75”

4549GA
Gold Antique Finish /
4549SA
Silver Antique Finish /
4549BO
Bronze Antique Finish /
4549
Engraving Back

5000 Series Gifts & Plaques:


4549BO5004 / 4549BO5010 /
4549BO5008 /
4549BO5009

Etched Enamel Disc and Accessories

4243GP
1” Enameled Disc /
4262GP
3” Enameled Disc /
3038AC
Wreath Frame for 3" Disc

Old Medallions Still Available in Limited Supply


4549
Original 1.75” Medallion /
4451
1.5" 50th Anniversary Front /
4451
1.5" 50th Anniversary Back

4204PO
2.5" Silver Antique Finish

28 September 2018asmc web pricingPage 1 of 4