Contact Info.
A-3 Assoc. member name_________________
E-mail address_________________________
Phone number__________________________
|
Shipping Address:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________ |
A-3 type_________________________
BuNo____________________________
MoDex___________________________
Special Features________________________
____________________________________
____________________________________
Paint________________________________
|
Photos included:
____left _____right _____tail _____Modex
Special featues__________
Squadron patch__________
Other:__________________
|
| Special Instructions:
|
Wooden stand Info: (circle one)
Squadron patch - Douglas logo -
A3D Center -
Pilot -
NFO - Aircrew
|
Data Plate Info: (circle one)
Brass Plate
- Free Hand |
Data Plate Info:
|
Model Cost:__________________
Deposit:_____________________
Other Cost:___________________
Balance:_____________________ |
Comments:
|
