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US_Pilots_Assn_Order_Form.jpg (75584 bytes)

 

Name tags as illustrated here are available from the Missouri Pilots Association

$6.00 each

USPA Nametag3.jpg (13237 bytes) TO ORDER: Complete form below and send with check for $6.00 each made payable to the Missouri Pilots Association to Barbara Lane, 820 Burgundy Lane, Ballwin, MO 63011-3587.

First Name_______________________

Last Name________________________

Lanyard______ or Clip______

If ordering more than one, please complete separate forms for each.