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BFHA Plaque Order Form

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BFHA Plaque Order Form

  1. 1. BROADWAY-FLUSHING HOMEOWNERS’ ASSOCIATION, INC. SERVING THE COMMUNITY SINCE 1964 Yes, I am interested in ordering a bronze plaque as described on this form. I understand the price will be determined by the number of orders, and I will be contacted to confirm my order and final pricing prior to placing my order. I understand this information is being provided to me as a COURTESY to assist with the ordering of a plaque, and is NOT a vehicle for fund raising by Broadway-Flushing Homeowners’ Association, Inc. I understand the plaque is in recognition of the National and New York State Register of Historic Places ONLY. I understand I am ordering the following: 10” x 7” Custom Plaque, Times New Roman Font, Double Border, BRONZE. I understand that INSTALLATION OF THE PLAQUE IS THE RESPONSIBILITY OF THE HOMEOWNER. Please mail your order form to: Broadway-Flushing Homeowners’ Association, Inc., P.O. Box 580031, Flushing, NY 11358 – Attention: Historic Plaque; OR scan the order form to: president@bfhassoc.org Questions or Concerns: Maria Becce, 718-762-1386 or mbecce@mbstubbs.com ------------------------------------------------------------------------------------------------------------------------------------------ ORDER FORM Name:_____________________________________________________________________ Address:____________________________________________________________________ _____________________________________________________________________ ____ FrontMount Plaque (recommendedforinstallationonwood) ____ RearMount Plaque (recommendedforinstallationonmasonry) Phone Number: __________________________________ E-mail address: _____________________________________________

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