Click here to make a uniform deposit with Paypal Please enable JavaScript in your browser to complete this form.Name *FirstLastBand Membership date (approximate) *Email AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneDeposit Amount $$ *Date Paid (approximate) * Glengarry, Piper *YesNo Glengarry, Drummer (checkered) *YesNoHackle (Feather) *YesNoHat Badge *YesNoShirt, Long-Sleeve Khaki *YesNoShirt, Short-Sleeve White *YesNoShirt, Long-Sleeve WhiteYesNoShirt, Short-Sleeve KhakiYesNoNote: Short-Sleeve Khaki and Long-Sleeve White Shirts are no longer used.Polo Shirt with Logo *YesNoEpaulette (Shoulder Badge Pair) *YesNoPin, Atlantic Watch *YesNoPin, St. Andrews *YesNoTie, Khaki *YesNoKilt *YesNoTroosers (Plaid Pants) *YesNoSporran, Plain *YesNoSporran, Horsehair *YesNoChain *YesNoBelt with Buckle *YesNoBelt Pouch *YesNoWater Bottle Holder *YesNoHoses, Lovat Green (Pair) *YesNoHoses, Checkered (Pair) *YesNoSpats (Pair) *YesNoFlashes (Pair) *YesNoJumper (Sweater) *YesNoRain Gear *YesNoSnare Drum *YesNoSnare Drum harness *YesNoTenor Drum *YesNoTenor Drum harness *YesNoBass Drum *YesNoBass Drum harness *YesNoComments:- Such as, list worn or ill-fitting items. Drummers, any additional info on your drum Complete? *Yes, I’m done.Submit