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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.
Memorial Plaques
Customized Memorial Plaques
In loving Memory or
Dedicated By are available
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