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4. Savvy Award ($125 Each - S&H Included)
   -- Select One --12345678910
5. Silver Circle Award ($95 Each - S&H Included)
   -- Select One --12345678910
6. Award of Excellence Award ($55 Each - S&H Included)
   -- Select One --12345678910
8. Award Category*
10. Entry Title*
12. First Name*
13. Last Name*
15. Jurisdiction*
17. Street Address*
19. City*
20. State*
    -- Select One --ALAKARAZCACOCTDEFLGAHIIAIDILINKSKYMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
21. Zip Code*
23. Phone Number*
24. Email*
26. Mail to:

    Please fill out the information below if the order is being shipped to a different address.  

    The mailing address must be a street address. FedEx cannot ship to a P.O. Box.

28. First Name
29. Last Name
31. Jurisdiction
33. Street Address
35. City
36. State
    -- Select One --ALAKARAZCACOCTDEFLGAHIIAIDILINKSKYMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
37. Zip Code
39. Phone Number:
40. Email:
42. Payment Options:*
    -- Select One --Online Credit CardCheck
44. Payment Notes

    Checks should be mailed to:

    3CMA
    P.O. Box 20278
    Washington, DC 20041

    Online credit card payment may be made online: http://3cma.org/creditcard

    Payment must be received by Friday - October 6, 2023. (Order will be placed on October 9th as a "group/bulk" order in order to keep costs as low as possible.  Thank you!)

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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field