Replacement name Badge
                     Name Badge Order Form  
     *************************************************************
If you have lost your name badge or just need a new one, you may order replacement
name badges. The price is $14.50 per name badge including shipping

To order new name badges please mail the completed form along with a check or
money order (U.S. Currency Only) to:

                                          Mandalay Travel Club
                                                  PMB #801
                                            5715 Hwy 85 North
                                           Crestview, FL 32536


Mail To: (Please Print)

Name:                                                                             Date:

Address:

City:                                 State:                 Zip:

Phone:

Cell Phone:                                 E-mail address:

Name(s) On Name Badges (Please Print):

Name: (As you would like it to appear)
1.)

2.)

3.)

City and State: (As you would like it to appear)
1.)

2.)

3.)                                                                                        
Mandalay Travel Club -- Now in our 12th Year
Print this page for your order form