**[FSA Length of Service Awards Selection]{.underline}**

Please select one of the items listed here, fill in the information
below, and send to your Servicing Personnel Office.

Name (as you want it to appear on the certificate):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Warehouse Item \# \_\_\_\_\_\_\_\_\_\_\_\_

Division, Branch, and Section
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Room \# \_\_\_\_\_\_\_\_\_\_ Phone \#
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------+-------------------------------+----------+--------------+
| **Number  | **Keepsake**                  | **W      | **Item**     |
| of Years  |                               | arehouse |              |
| Service** |                               | Item     |              |
|           |                               | Number** |              |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Presidential Mug              | 835      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 1.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72986111 |
|           |                               |          | 11111111in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Business Card Paperweight     | 836      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 2.jpeg){widt |
|           |                               |          | h="0.7298611 |
|           |                               |          | 111111111in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Pizza Crystal Box             | 837      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 3.jpeg){widt |
|           |                               |          | h="0.7277777 |
|           |                               |          | 777777777in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Card Holder                   | 844      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 4.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Glass Plate with Stand        | 846      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 5.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Marble Card Holder            | 847      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 6.jpeg){widt |
|           |                               |          | h="0.7805555 |
|           |                               |          | 555555556in" |
|           |                               |          | height=      |
|           |                               |          | "0.78125in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Memo Clip                     | 848      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 7.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72986111 |
|           |                               |          | 11111111in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Jade Glass Pen with Stand     | 849      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 8.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Letter Opener with Slip Case  | 853      | ![]          |
| 15, or 20 |                               |          | (media/image |
|           |                               |          | 9.jpeg){widt |
|           |                               |          | h="0.7298611 |
|           |                               |          | 111111111in" |
|           |                               |          | height       |
|           |                               |          | ="0.52083333 |
|           |                               |          | 33333334in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Flashlight & Keychain with    | 854      | ![](         |
| 15, or 20 | Case                          |          | media/image1 |
|           |                               |          | 0.jpeg){widt |
|           |                               |          | h="0.7298611 |
|           |                               |          | 111111111in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Business Card Holder with Lid | 855      | ![](         |
| 15, or 20 |                               |          | media/image1 |
|           |                               |          | 1.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 5, 10,    | Ballpoint Pen/Pencil Set with | 856      | ![](         |
| 15, or 20 | Case                          |          | media/image1 |
|           |                               |          | 2.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| \*5 years | (5 yrs engraved) Crystal Mug  | 649      | Same as      |
|           |                               |          |              |
|           |                               |          | Item #835    |
+-----------+-------------------------------+----------+--------------+
| \*10      | (10 yrs engraved) Paper       | 650      | Picture Not  |
| years     | Weight                        |          | available    |
+-----------+-------------------------------+----------+--------------+
| \*15      | (15 yrs engraved) Crystal Box | 651      | Same as      |
| years     |                               |          |              |
|           |                               |          | Item #837    |
+-----------+-------------------------------+----------+--------------+
| \*20      | (20 yrs engraved) Crystal     |          | Item No      |
| years     | Plate                         |          | Longer       |
|           |                               |          | Available    |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Crystal Gibraltar             | 838      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 3.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Jade Angle Clock              | 839      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 4.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Picture Frame with Photo      | 840      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 5.jpeg){widt |
|           |                               |          | h="0.7298611 |
|           |                               |          | 111111111in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Crystal Two Pen Holder        | 841      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 6.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Dove Ice Server               | 842      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 7.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Baltic Lecturn Set            | 843      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 8.jpeg){widt |
|           |                               |          | h="0.7819444 |
|           |                               |          | 444444444in" |
|           |                               |          | height=      |
|           |                               |          | "0.78125in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Beveled Crescent              | 845      | ![](         |
| 35, or 40 |                               |          | media/image1 |
|           |                               |          | 9.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Marbled Wing Clock            | 850      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 0.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Golosina Crystal Jar with Lid | 851      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 1.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Balmaral Crystal Vase         | 852      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 2.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72916666 |
|           |                               |          | 66666666in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Planet Desk Clock             | 857      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 3.jpeg){widt |
|           |                               |          | h="0.7298611 |
|           |                               |          | 111111111in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Calculator                    | 858      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 4.jpeg){widt |
|           |                               |          | h="0.7291666 |
|           |                               |          | 666666666in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| 25, 30,   | Frosted Globe Paperweight     | 859      | ![](         |
| 35, or 40 |                               |          | media/image2 |
|           |                               |          | 5.jpeg){widt |
|           |                               |          | h="0.7284722 |
|           |                               |          | 222222222in" |
|           |                               |          | height       |
|           |                               |          | ="0.72847222 |
|           |                               |          | 22222222in"} |
+-----------+-------------------------------+----------+--------------+
| \*25      | (25 years engraved) Crystal   | 653      | Same as      |
| years     | Tray                          |          |              |
|           |                               |          | Item# 838    |
+-----------+-------------------------------+----------+--------------+
| \*30      | (30 years engraved) Coasters  | 654      | Picture Not  |
| years     |                               |          | Available    |
+-----------+-------------------------------+----------+--------------+
| \*35      | (35 years engraved) Clock     | 655      | Same as      |
| years     | Plaque                        |          |              |
|           |                               |          | Item #839    |
+-----------+-------------------------------+----------+--------------+
| \*40      | (40 years engraved) Crystal   | 656      | Same as      |
| years     | Picture Frames                |          |              |
|           |                               |          | Item #840    |
+-----------+-------------------------------+----------+--------------+

> \*Per PM Notice 2549, Limited stock available.
>
> \*Offered on a first-come, first-served bases. Item will not be
> reordered.