Commemorative Medallion Claim Form

Congratulations on earning your seaplane rating!

Wipaire is excited to welcome you to the seaplane community. In recognition of your achievement, please fill out the following form to receive a commemorative medallion. This medallion will be personalized with your name, the date of your rating, and the aircraft and floats you earned you rating in. Please fill out the following information to allow us to personalize your commemorative medallion.

This offer is valid for students receiving their rating after May 23rd, 2012 (while supplies last).