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Triangle Recovery Club Memorial Plaques

Fundraiser

Plaque Order Form

Purchasers Name:

Purchasers Phone Number:

Plaque Size: 50.00

Quantity:_______________

Total Amount Due:___________

Please clearly print inscription below for each plaque purchased :

_________________________________________________

_________________________________________________

________________________________________________

Make Checks out to Triangle Recovery Club and mail the check and your form to  255 Clifton Blvd., Ste 313
Westminster, MD 21157, and put  Memorial Plaques in Memo.

Customized Memorial Plaques

In loving Memory or

Dedicated By are available 

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