Regional Vice President Medal Request

RVP Medal Request Form

Requester Name

Prefix First Last Suffix

Phone(Required)

Region

Date Award Needed (Typical turnaround is 14-21 days. See below for details.)(Required)

Recipient Information

1st Recipient Prefix

1st Recipient Name

Prefix First Last Suffix

1st Recipient Post Affiliation

1st Recipient Comments

2nd Recipient Name

Prefix First Last Suffix

2nd Recipient Post Affiliation

2nd Recipient Comments

3rd Recipient Name

Prefix First Last Suffix

3rd Recipient Post Affiliation

3rd Recipient Comments

After an order is placed it takes approximately 14 days for processing, production and engraving, then your order will ship either USPS or UPS . You will receive an email confirmation after you submit your request. If you have any questions, please email Posts@same.org.

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