How many I. D. Badges would you like to order ?  ($ 5 ea.)   One      Two                      

               

Guest Badges are NOT Available

Regular member can order a badge for the member and their spouse. (If desired)
Associate members, should order the Associate Member badge, and their spouse (If desired)

Regular Member Badge

 Associate Badge

Please type the name, and city you would like to have printed on the Badge.

1.
      2.   
Please be exact and use a separate line for each badge:

Please note Membersand Associate Members may order badges
  The name ASSOCIATE will appear below the badge logo



My Email address is: 

COMMENTS: (If any)

I will pay when I pick up the Badge    I will send a check 

I would like to pick up the Badge(s) at the next reunion?  At a monthly meeting  or:
Please send it to me by mail, Note there is an additional $2 charge