OSM/SOS Reorder Form OSM/SOS Reorder Form Name on Award Including Rank/Grade*Please use rank at time of awarding. Please format as Rank (abbr.) First M.I. Last (ex. SSG Joseph A. Smith). Do not use all caps. Date of Award MM slash DD slash YYYY Award Level* Peregrinus Award Civis Award Cohort Award Legionnaire Award Centurion Award Primicerius Award Shield of Sparta Award Number* Phone Number*Email Address* Credit Card*Card Details Cardholder Name Order Full OSM Replacement (includes engraved medalllion, certificate and orders) Engraved OSM OSM for Framing (not engraved or mis-engraved medallion only) Full Sparta Replacement (includes pendant and chain, certificate and orders) Engraved Sparta Shield of Sparta for Framing (not engraved or mis-engraved medallion only) Certificate and Orders (Sparta or OSM) Add-OnsPlease select quantity below. NIA “Follow Me” Coin Order of St. Maurice Lapel Pin Shipping*You must pay for shipping unless you are picking up the award locally at our office in Columbus, GA. Failure to pay for shipping when necessary may delay your award. Shipping $10 Local Pickup Ship To Name* Shipping Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Full OSM Replacement Price: Engraved OSM Price: OSM for Framing Price: Full Sparta Replacement Price: Engraved Sparta Price: SOS for Framing Price: Certificate and Orders Price: Order of St. Maurice Lapel Pin Price: $4.00 Quantity: NIA "Follow Me" Coin Price: $10.00 Quantity: Shipping Price: Total $0.00 CAPTCHAAny Additional Comments:Please Read Carefully:We process replacement orders as quickly as possible. Engraved orders typically ship within 4 weeks. Orders that do not require engraving typically ship within two weeks. You will receive and email once your order has shipped or is ready for pickup. Δ TweetShareSharePin0 Shares