<p> Roullet Bookbinders, Inc. – Aviator Log Book Group Order Form – Page 1</p><p>Squadron: Phone Number:</p><p>Point of Contact: E-mail:</p><p>Street Address (no PO boxes please): # Sets Being Submitted: ______</p><p>City/State/Zip: Military Branch (Circle One): Navy Marine Corps</p><p>PAYMENT INSTUCTIONS:</p><p>Payment is due prior to the order being returned. Shipping is not completely known until the order is packed. It is most convenient if you provide a Visa or Mastercard that can be billed at the time of shipping. If this is not possible, we will call you with a total, at which time you can provide the number over the phone, or forward a check.</p><p>□ Charge my credit card: ______-______-______-______Expires: ______/______Name on card: House number only of billing address: Zip Code of billing address: 3-digit “V” code (on back of card by signature line):</p><p>□ Call me when my order is ready to ship and I will provide payment.</p><p>□ Please use expedited shipping to return my order. (If you do not check this box, your order will be returned via Ground UPS service. </p><p>Standard imprint format is shown below. Any variations may be subject to additional imprint fees, and should be sketched on a separate sheet of paper.</p><p>Spine: Front: Naval Aviators (wings pin here) Flight Log Book First name, middle initial, last name</p><p>First initial, middle initial, last name Military Branch</p><p>SSN if desired Roullet Bookbinders, Inc. – Aviator Log Book Group Order Form – Page 2 This form may be reproduced and/or edited as needed, but must include all categories listed below. Custom imprint should be sketched on a separate sheet of paper.</p><p>Cover Material (Check One) Mount # Log Ribbon Standard Name as it Should Buck- Bonded Genuine Cover Wings SSN if desired Books Marker? Imprint? Appear on Front ram Leather Leather Color Pin? Sent Y / N Y / N Y / N 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15</p>