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HEROES Act Order Form for English and Spanish Placards
PLEASE ORDER AT LEAST FIVE DAYS BEFORE YOUR EVENT.
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Email
*
Your email
Event Organizer's Name
*
Your answer
Event Organizer's Organization
*
Your answer
Date of Action
*
MM
/
DD
/
YYYY
Issue Placard Quantity (for English)
*
Your answer
Issue Placard Quantity (for Spanish)
Your answer
Shipping Contact's Name
*
Your answer
Shipping Contact's Phone
*
Your answer
Shipping Address 1
*
Your answer
Shipping Address 2
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
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