The Military Order of the World Wars, 435 North Lee Street, Alexandria, VA 22314
SR/JR ROTC Award of Merit
Purchase Medal (Only) Form
(Complete & Print Form - Mail to MOWW with your payment)
Date
REQUESTED BY
Name of Unit/Detachment
Name of School
Street Address
CityStateZip
Daytime Phone
Contact Name
MAIL TO Same as Above
Name
To Purchase SR/JR ROTC Medal, please print and complete the form above and return it with your payment. The price includes postage and handling. Only ONE medal in each category listed below will be mailed. Please do not order more than one medal, there is a limited supply to support all the units. WE DO NOT ACCEPT CREDIT/DEBIT CARDS !!
SR ROTC (Gold): $11.00 - SR ROTC (Silver): $10.00 - SR ROTC (Bronze): $9.00
JR ROTC: $8.00
NO CERTIFICATE WILL BE MAILED - MEDAL ONLY !!
Order Completed Date (For MOWW Use)
June 2010