T-Shirt Order Form

Please fill out the T-shirt/Cap order form below and keep in mind:

  • Shirts and caps are for hospitalized veteran patients only.  Shirts, caps, or a combination of both can be ordered as long as the total number of items does not exceed the total number of expected HOSPITALIZED veterans at your facility and your total facility bed count that you submitted at registration.
  • Veterans will receive a shirt or a cap.
  • If you have any problems or questions about this form, contact Katie at [email protected].
  • Submit your order no later than August 19, 2022 June 30, 2022. Due to supply chain issues, we need to move the order date sooner!
1Contact Information
2Shipping Confirmation
Items will be shipped to the:(Required)
Please select one response.
Name(Required)
Shipping Address(Required)