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Guidelines | Award Order Form
Club Recognition Award Order Form back to AYA Services
This award form is for international clubs only. US Clubs, click here.
 Award Order Form - International Clubs
 Name of Recipient
 Yale Affiliation
 Yale Club/Association
 Date Plaque Needed
  (This date will be inscribed on the plaque)
 Details
Please request awards at least six weeks before your awards presentation.
 
 Reason recipient chosen for Club Recognition Award:
 
 Ship Plaque to
 Name
 Address
 City, Country
 Postal Code
 Phone
 Email
 
 Charges per award
Award $65.00
First Class Airmail $20.00
Total $85.00
Please Note: Clubs or businesses who have international accounts with the following companies may charge their account directly for shipping and subtract the $20 shipping charge above: Federal Express, DHL, and UPS.
Bill my courier service
Account #
Company Name
 
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