OEST Plaque Order Form

Please use this form to let the Executive Director's office know the information on the OEST winners for your section. Complete the form for each winner separately. The deadline for completing this form is June 1 or at least 3 weeks prior to the date needed for presentation.

Please double check the information you enter into the form. The information received is what will appear on the plaque.

Award Year

Section:

Name of person submitting this form (should be the authorized officer for the section):

Submitter Email:

Date the Plaque(s) is Needed for Presentation:

Shipping Instructions

Shipment will be by appropriate carrier. Street address required.

Ship to:

For a Section Winner

10x13 Laser Engraved Solid Walnut

Winner's Name:

For a State Winner

9x12 Black Enamel on Simulated Walnut

State/Province:

Winner's Name:

To submit information for additional states/provinces, click here.

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State 2State/Province:

Winner's Name:

State 3State/Province:

Winner's Name:

State 4State/Province:

Winner's Name:

State 5State/Province:

Winner's Name:

State 6State/Province:

Winner's Name:

State 7State/Province:

Winner's Name:

State 8State/Privince:

Winner's Name:

State 9State/Province:

Winner's Name:

State 10State/Province:

Winner's Name:

Name Email *Please type the two distorted words into the box below. Separate them with a space. This helps us prevent spam. For more details or help click the question mark.

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