Name _________________________________    Member No. ________     Month ___________

Level: ______ Master _______ Intermediate _______ Basic _______ Junior

Type:  (Circle Type)

Aircraft   Armor & Military  Automotive  Science & Fantasy  Ship   Figure  Vignette  Diorama

Description: ______________________________________________________________________________

Scale: ________ Kit Manufacturer ______________________________________

Describe level of progress of this work. If you received points for this project previously, detail progress made since then.

Comments:________________________________________________________________________________

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 ASM Rev 01/04