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Philo Plaque Duplication Request
THE DEADLINE FOR ORDERING DUPLICATE PLAQUES IS DECEMBER 1ST. Plaques are normally mailed late January.
Please reach out to Tim Neumann at (513) 578-9283 or email csacmtreasurer@gmail.com with any questions.
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Email
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Your email
How many plaques would you like to order
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1 = $30
2 = $60
3 = $90
4 = $120
5 = $150
6 = $180
7 = $210
8 = $240
9 = $270
10 = $300
Program Title
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Name(s) on the Plaque:
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Your answer
Category
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Level
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PROFESSIONAL
NON-PROFESSIONAL
STUDENT
Address to mail the plaque(s)
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Contact Name
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Contact Phone Number
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Payment Type
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Check made payable to Central States Alliance
Credit Card or PayPal
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