ORDER FORM INSTRUCTIONS
1. | Select Plaque Size. | |
7. | Enter your Pack or Troop Number *** | |
11. | Total your order. | 2. | Select Brass Color. | |
8 | Enter your Council Name.*** | |
12. | Fill in your contact information. | 3. | Select Plaque color.* | |
9. | Enter your Personal Message. | |
13. | Fill in payment information. | 4. | Fill in Date plaque is needed by. | |
10. | Enter Scouts' Names. | |
14. | Print Form. | 5. | Enter your Background Paper choice. **
(See Background Papers pages.) | 6. | Select Poem. (See
Thank You Poem Plaques page for poem choices & wording.) | |
*Some background papers look better in Walnut, some in Black Marble. If you prefer, we can choose the best plaque color for your background paper choice. |
** Most Background papers are 8.5” by 11”. They must be trimmed to fit 10”x 8” and 7”x 5” plaque openings. Not all background papers are suitable for trimming. Please call for more information. |
***This information will help us to determine if your leader has already received the poem you are ordering for him or her. |
Use your browser's "Print" feature to print this form, sign it, and Fax or mail it to the address above. |
12” by 15” Deluxe Poem Plaque (with 10” by 8” Poem) | $ 52.95 Each | Shipping and Handling $ 21.00 | ||
9” by 12” Deluxe Poem Plaque (with 7” by 5” Poem) | $ 48.95 Each | Shipping and Handling $ 14.00 | ||
California Residents add 7.75 % Sales Tax |
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Personal Message to be Engraved on Brass Plate | |||||||||||||||||||||||||||||||
The first line is usually the Leader's Name, and is larger than the other lines.. | |||||||||||||||||||||||||||||||
Scouts' Names are generally listed last, after some kind of "Thank You" message. | |||||||||||||||||||||||||||||||
(Don't forget your Pack or Troop Number, and the Date of Presentation.) | |||||||||||||||||||||||||||||||
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ORDER SUMMARY | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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* California Residents only |
Billing Address | ||||||||||||||
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Shipping Address (if different) | ||||||||
We must have a phone number for the shipping address. | ||||||||
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PAYMENT INFORMATION: | |||
Check Enclosed | Credit Card | PayPal | |
CREDIT CARD INFORMATION:
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Name on Credit Card: | |||
First Name | Middle Initial | Last Name | |
Please make sure that the Billing Address (above) is where the credit card statement is sent. | |||
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CREDIT CARD NUMBER: | EXPIRATION DATE: | SECURITY CODE: (on back of card) | |
Signature: ________________________________________________________________________________ |