You must have JavaScript enabled to use this form. Lodge Leader Name * Local Lodge # * Office in Lodge * You must be a lodge officer to request pins. Contact Email * Ordering * Please let us know the purpose of sending your list of members. You can submit the list for inclusion in the Boilermaker Reporter, ordering pins from the International Secretary-Treasurer, or both. Reporter only Order pins only Reporter and Order pins We will publish your lodge pin submission in the next available issue of The Reporter. Because the magazine is prepared far ahead of print, please send your lodge’s pin information as soon as possible to ensure it appears in the correct quarter or year. When submitting your member list, please select which quarter they are for, or if your list is annual. Year * 20272026202520242023202220212020 Quarter Q1: Jan - Mar Q2: Apr - Jun Q3: Jul - Sep Q4: Oct - Dec Annual List of members receiving pins * 10, 75, 80, 85 and 90 year pins are not available, but will be included in the Reporter.† Pins are free, EXCEPT 15 year pins, which are $5 each. First Name * Middle (optional) Last * Suffix (optional) Years of Service * - Select -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075*80*85*90* First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 First Name Middle (optional) Last Suffix Years of Service - None -10*15†202530354045505560657075808590 Additional Service Pins * If you are only ordering service pins or would like to order extra service pins (in addition to what you have requested above), please list the pin year and how many extra pins you would like. * 10, 75, 80, 85 and 90 year pins are not available. 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