Regional Vice President Medal Request

RVP Medal Request Form

MM slash DD slash YYYY

Recipient Information

1st Recipient Name
2nd Recipient Name
3rd Recipient Name

Shipping Information

Shipping and Handling (check one)

After an order is placed it takes approximately 7 days for processing, production and engraving, then your order will ship based on your choice of the two shipping options (Express Shipping or Ground Shipping).

To confirm receipt of your RVP Medal request, please contact Otis Carter, SAME Logistics & Administrative Services Specialist,, or 703-549-3800 ext. 114.