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Date *

First Name *

Last Name *

Email *

Telephone *

Complete this section for addresses in the United States

Street Address

City

Zip / Post Code

Complete this section for international addresses

International Address

Country *

Film Name(s) *

********** 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 24 characters (including spaces) per line.

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Statuette # 1

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #2

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #3

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #4

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #5

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #6

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #7

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Statuette #8

Line #1

Line #2

Line #3

Line #4

Line #5

Line #6

Line #7

Line #8

Special Instructions

Order Totals

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SHIPPING ALERT

Due to the current conditions with COVID 19 - there are temporary restrictions with the US Postal Service into some countries.

For those countries we will have to ship via FedEx so the shipping will be higher than the flat rate $65. We need to determine this on an individual basis. (depending on your country and the number of statues ordered)

Please complete the form (with the international shipping checked) and we will email you to let you know the additional shipping charges.

We apologize for any inconvenience - this is completely out of our hands! The list changes often so we will keep up to date.

This impacts INTERNATIONAL deliveries only.

The current list of countries impacted is in the link HERE.

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Sub Total

Sales Tax: Purchases made within the State of California must include 9% sales tax. If you are not making your purchase within the State of California, USA please put a 0 here. *

Total

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