(Members Only Item)
 

 


 

Fill in the form below to order your certificate today, please allow
between 1-2 weeks for printing.

(You MUST be a registered association member in good standing to order)

Price $9.95 + $1.30 postage-handling

 

 

PART I MEMBER INFO
Certificate type: Member (Complete PARTS I, III)     
Associate (complete PARTS I, II, & III)
Full Name
(Beach Jumper)
 
Rank/Rate  
Unit
Year(s) in unit to ie 1960-64 etc.
   
PART II ASSOCIATE INFO ONLY
Full Name (Associate)
Relationship of Beach Jumper named ab
   
PART III MEMBERS & ASSOCIATES
Email address  
 

 

 

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