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NAPCLI NAME BADGE ORDER FORM

If you would like to order a name badge, the cost is $10.00 each. Payment, in check ONLY payable to NAPCLI, must be made when placing your order. Mail your request as soon as possible so that we can order the badges and give them to you at our next NAPCLI function. Should a delay occur, we will mail the badge(s) to you at the address provided on the order form below. Only members of NAPCLI will be permitted to order badges.

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LINE 1  __________________________________________________________w/USNA Cres

             PRINT YOUR NAME IN CAPITAL LETTERS EXACTLY AS YOU WANT IT ENGRAVED 

LINE 2  NAPC LONG ISLAND 

LINE 3   ___________________________________________________ 
               MIDSHIPMAN'S FIRST NAME 
             Class of: ‘15, ’16, ’17, ‘18 

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LINE 1   _________________________________________________________ w/USNA Crest 

             PRINT YOUR NAME IN CAPITAL LETTERS EXACTLY AS YOU WANT IT ENGRAVED 

LINE 2   NAPC LONG ISLAND 

LINE 3   ___________________________________________________ 
             MIDSHIPMAN'S FIRST NAME 
             Class of: ‘15, ’16, ’17, ‘18 

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YOUR NAME:_________________________________________________________________

ADDRESS:  __________________________________________________________________ 

CITY: _____________________________________________ST:_________ ZIP:___________ 

(AREA CODE) PHONE NUMBER: ( ) _______________________________ 

Mail your completed form(s) and check payable to NAPCLI to: Patricia and John Bellissimo 2542 Southard Avenue Oceanside, NY 11572 (516) 764-9609 

FOR NAPCLI USE ONLY CHECK # ________ CHECK $ __________ DATE____________

​Naval Academy Parents Club of Long Island