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NEW MASTER INSTRUCTOR PLAQUE ORDER FORM

Below is order form and information to order a replacement plaque with the new Master Instructor wings for your previous designations.  Plaques will be ordered on the 15th of each month from our laser engraver.  In order to keep the price at a minimum, plaques will be ordered in bulk.  The price -- $45 -- includes shipping and handling.  Please send this order form and your check for $45 to:
Master Instructors LLC
1803 Signature Court
Longmont,CO   80504-2644


Print name as it appears on your plaque:_________________________________

Circle your Master designation:   MCFI      MGI      MCFI-A      MI-E

Provide date plate info:   i.e.  Jan 2002 – Jan 2004

1.______________________________

2.______________________________

3.______________________________

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5.______________________________