By special request, we have arranged the opportunity for you to order a plaque signifying your NACA® membership. Each plaque will be personalized with the member’s name and the year their membership began. These plaques are available for a limited time only for $70.00, shipping included. To order, complete ALL information below and return this form (with your check made payable to NACA®) to Lori Ringo.

Member name to appear on plaque:

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Name and address plaque is to be shipped to:

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Current phone number:

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