1st Lt. David Richard Reynolds Camp, SCV, Mount Pleasant, Texas

 


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1st Lt. David Richard Reynolds

 

 

 

On-Line Order Form for the
Purple Heart Medal

Your full name: (As you want it to appear on your Certificate)

Your complete street address: (Where you wnat you certificate mailed)

Your City State Zip Code

Your telephone number:

Your e-mail address:

Camp Name: (if you are a member of the SCV)

Information on your Confederate Ancestor who was wounded or killed (as you want it to appear on the certificate.)

Rank and Name of soldier who was wounded or killed:

Military Unit and State, if known: (How you want it to appear on the certificate.)

Soldier's relationship to you:

Battle or Skirmish where soldier was   Wounder  or   Killed (if known):

Medals are antique pewter finished and come with purple military style pin on ribbon. Cost per medal with Certificate is $30.00 which includes all shipping and handling.

How did you hear about this medal?

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