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Please print this page and complete.
Name tags are $7.00 each except for the magnet which is $9.00.

Make check payable to "Jupiter Tequesta Repeater Group" and
mail to JTRG, PO Box 7751, Jupiter, FL 33468.

 
Design::   Jupiter Tequesta Repeater Group Name Tag
Background Color:   JTRG Name Tag
Picture File Name:   JTRG Name Tag
Line 1:   Jupiter - Tequesta
Line 2:   Repeater Group
Line 3:    ______________________________________ 
Line 4:    ______________________________________ 
Line 5:    ______________________________________ 
Select One:   Pin    Clip    Magnet
Name:    ______________________________________          Call: ______________
Address:   _____________________________________________________________
City:   ______________________________________         ST: _____         ZIP: _______________
Phone:   ______________________________________
eMail:   _____________________________________________________________
Quantity:   _____   @  $__________  = $ __________