Copy and paste the following form into an email and fill out with your information. Email: [email protected]

OR

Print out the outline form, fill out with your information, and mail to P.O. Box 1201, Edmonds WA, 98020



Name:_________________________________________


Address:___________________________________________________________

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Email:__________________________________________________


Phone____________________________________


What is your involvement in medals?
(Artist, designer, collector, other?)


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