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Transfer Achievement Medallion 2023
Congratulations!!!
Complete this form so we can congratule you with your transfer achievement medallion you can don at year-end celebrations!
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Full Name (First and Last Name)
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WID Number
Example: W10712345 (Please do not enter your Social Security Number)
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Telephone Number
Example: (510) 123-4567 (We will only call if we have questions about your submission.)
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