Please send your request for a certificate to: Gail Goldberg, AFS Unit Services Coordinator, ggoldberg@fisheries.org.
Please allow for a two to three week turnaround time.
Type of Certificate:
Chapter
Section
Division
Past President
Student Newsletter Editor
Newsletter Certificate
Award of Merit
Secretary/Treasurer
Best Student Paper:
Outstanding Chapter
Distinguished Service
Best Paper:
Award of Excellence
Other. Please Specify:
Certificate Award Information:
- Name to Be Place on Certificate:
- City, State, Year Where Presentation Will Be Made:
- Date Presentation Will Be Made:
- Dates of Service for Award Recipient:
- UPS Shipping Address:
- First Name:
- Last Name:
- Address:
- Address:
- City:
- State:
- Zip/Postal Code:
- Country:
- Please provide for Society use only:
- Phone:
- Fax:
- Email:
Billing/Invoice Address:(if different than the shipping address)
- Name:
- Address:
- Address:
- City:
- State/Province:
- Zip/Postal Code:
- Country:
- Please provide for Society use only:
- Phone:
- Fax:
- Email:
- Ordered By:
- Member Name:
- Subunit Name:
- Member Number:
COST BREAKDOWN:
Cost of certificate: $5 each
Cost of Plaque: $15 each
Cost of Shipping and HandlingContinental US: $5 per award certificate
Cost of Shipping and Handling Outside Continental US: Varies
TOTAL COST FOR ONE DOMESTIC (U.S.) ORDER IS $25
Method of payment (check one)
- Please bill me
- Purchase Order Number
- Visa
- MasterCard
- Credit Card Number
- Expiration Date
- Name as it appears on Credit Card
