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Get Peace Corps License Plate Frame

Santa Barbara Peace Corps Association LICENSE PLATE FRAME ORDER FORM Name Date Email MAILING ADDRESS Phone Country of PC Service Years of PC Service Complete ONE FORM PER SPECIFIC LICENSE PLATE FRAME DESIGN you are ordering. 15 EACH for postage per frame if applicable CHOICE A Personalized Plate Please select one box for the TOP plate insert text one for the BOTTOM plate insert text Note 15 character spaces max on top insert Top Bottom PEACE CORPS RPCV RETURNED VOLUNTEER YOUR COUNTRY OF SERVICE COUNTRY YY-YY ex NAMIBIA 97-99 COUNTRY YYYY-YYYY ex NAMIBIA 1997-1999 Leave it blank Write your own text Max characters 15 top 25 bottom CHOICE B Generic SBPCA Plate Top plate insert SANTA BARBARA Bottom plate insert PEACE CORPS ASSOCIATION Questions Send an email to fundraising sbpca.org with subject line License Plate Frame For SBPCA use only Date order rec d Date processed. Mailed plate on Called on Notes. Check all boxes below that apply to this order. Incomplete forms cannot be processed* Proceeds from sales support SBPCA s Mini Grants Program* Please ATTACH PAYMENT to this form either submit in person at an SBPCA event or mail to SBPCA P. O. Box 91406 Santa Barbara CA 93190 For ALL orders Frame color Black 19. 00 Method of receipt Call me for pick-up of plate when it is ready Mail my frame s to me for an extra 5. 15 EACH for postage We ll use the contact info you listed above Color scheme of plate inserts Plate inserts will be engraved on laminated durable plastic Chrome 18. 00 WHITE background with RED text RED background with WHITE text BLUE background with WHITE text This order is for license plate frame s with the EXACT SAME specifications indicated on this form* Total Payment Attached including 5. Check all boxes below that apply to this order. Incomplete forms cannot be processed* Proceeds from sales support SBPCA s Mini Grants Program* Please ATTACH PAYMENT to this form either submit in person at an SBPCA event or mail to SBPCA P. O. Box 91406 Santa Barbara CA 93190 For ALL orders Frame color Black 19. 00 Method of receipt Call me for pick-up of plate when it is ready Mail my frame s to me for an extra 5. O. Box 91406 Santa Barbara CA 93190 For ALL orders Frame color Black 19. 00 Method of receipt Call me for pick-up of plate when it is ready Mail my frame s to me for an extra 5. 15 EACH for postage We ll use the contact info you listed above Color scheme of plate inserts Plate inserts will be engraved on laminated durable plastic Chrome 18. 15 EACH for postage We ll use the contact info you listed above Color scheme of plate inserts Plate inserts will be engraved on laminated durable plastic Chrome 18. 00 WHITE background with RED text RED background with WHITE text BLUE background with WHITE text This order is for license plate frame s with the EXACT SAME specifications indicated on this form* Total Payment Attached including 5. Check all boxes below that apply to this order. Incomplete forms cannot be processed* Proceeds from sales support SBPCA s Mini Grants Program* Please ATTACH PAYMENT to this form either submit in person at an SBPCA event or mail to SBPCA P. O. Box 91406 Santa Barbara CA 93190 For ALL orders Frame color Black 19. 00 Method of receipt Call me for pick-up of plate when it is ready Mail my frame s to me for an extra 5. 15 EACH for postage We ll use the contact info you listed above Color scheme of plate inserts Plate inserts will be engraved on laminated durable plastic Chrome 18.

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