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Triangle Recovery Club

 2 Court Street 2nd Floor

Westminster, Md 21157

[email protected]

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 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)

Memorial Plaques

Smaller Plaque
$50.00

Customized Memorial Plaques

In loving Memory or

Dedicated By are available