Statuette Order Form

Fields marked with an * are required.

Complete this section for addresses in the United States

Complete this section for international addresses

********** INSTRUCTIONS **********

Line #1 - Will be "Accolade Winner" (Completed by Accolade staff)

Line #2 - Your level of award (Award of Merit, Award of Excellence, or Award of Recognition) (Completed by Accolade staff)

In addition to Line #1 and Line #2 you have another six (6) lines to use.

You do NOT need to use all six lines.

NO MORE than 22 characters (including spaces) per line.

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Statuette # 1

Statuette #2

Statuette #3

Statuette #4

Statuette #5

Order Totals

When you click the "submit" button - you will be taken to the secure PayPal website for payment.

You can pay with a PayPal account or a credit card.

When your transaction is complete - you will automatically be brought back to this page.