Triangle Recovery Club Memorial Plaques 
Fundraiser
Plaque Order Form
Purchasers Name:
Purchasers Phone Number:
Plaque Size:  Large 100.00        Small 50.00
Quantity:_______________

Total Amount Due:___________

Please clearly print inscription below for each plaque purchased :
_________________________________________________

_________________________________________________

________________________________________________

Make Checks out to Triangle Recovery Club and mail check and your form to Po Box 106 Woodbine, Md 21797 and put                                                                   Memorial Plaques in Memo or  go below and use credit card or pay pal                                                                       ( There is a spot to put your name you want on plaque in notes section)





             Sm. Plaque                    

Lg Plaque

Customized Memorial Plaques


You can dedicate a chair with someones name. 


Larger Size is $100.00

 (Black Gold Letters)

Smaller Size $50.00 

(Gold Black Letters)