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Guidelines | Award Order Form
Club Recognition Award Order Form back to AYA Services
This award form is for domestic clubs only. International Clubs, click here.
 Award Order Form
 Name of Recipient
 Yale Affiliation
 Yale Club/Association
 Date Plaque Needed
  (This date will be inscribed on the plaque)
 Details
The cost of a Club Recognition Prize for 2004 is $55.00, including shipping and handling. Please request awards at least four weeks before your awards presentation.
 
 Reason recipient chosen for Club Recognition Award:
 
 Ship Plaque to
 Name
 Address
 City, State, Zip
 Phone
 Email
 
 
 Ordering the Award

Charges per Award Domestic Clubs:
Club Recognition Award $65.00

Charges per Award International Clubs:
Club Recognition Award $65.00
First Class Airmail **$20.00
Total $85.00

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