Awards Order Form Regional

2021 Regional Awards Order Form

Complete and submit this form to order 2021 Talent On Parade jacket pins, trophies, and/or plaques. Indicate the number of each item requested below.

If you want to order more than 10 of any item(s) below, or if you don\’t find the item(s) listed that you want to order, DO NOT submit this form. Instead, contact the TOP office during normal business hours at (316) 522-4836.

JACKET PINS

Number of ELITE Placement Jacket Pins @ $5 each *

Number of DIAMOND Placement Jacket Pins @ $5 each *

Number of DOUBLE DIAMOND Placement Jacket Pins @ $5 each *

Number of TALENT ON PARADE Logo Jacket Pins @ $5 each *

REGIONAL TROPHIES

Number of ELITE Adjudicated Trophies @ $25 each *

Number of DIAMOND Adjudicated Trophies @ $25 each *

Number of DOUBLE DIAMOND Adjudicated Trophies @ $25 each *

Number of CATEGORY CUP Trophies @ $25 each *

REGIONAL PLAQUES

Number of NOVICE CHAMPION Plaques @ $25 each *

Number of INTERMEDIATE CHAMPION Plaques @ $25 each *

Number of COMPETITIVE CHAMPION Plaques @ $25 each *

GRAND TOTAL: Enter below the total price of all items ordered PLUS a $6 flat shipping fee. *

Example: The total price of an order that includes 1 jacket pin and 1 adjudicated trophy would be $36 ($5 pin + $25 trophy + $6 shipping = $36). Shipping fee is per ORDER, not per ITEM.

Submission of this form constitutes approval of the following:

I approve Talent On Parade, LLC to charge my card the amount shown in the Grand Total box above upon my submission of this form. I also agree to release and hereby indemnify Talent On Parade, LLC and their agents from any and all contracts,
claims, suits, actions, liabilities, and/or injuries arising as a result of submitting this form.

Name On Credit/Debit Card *

Credit/Debit Card #: *

Expiration Date *

3 digit code *

Address Card Bills To *

Apt, suite, etc.

Country

City

State

Zip code

Electronic Signature *

Typing your name into this form, and then submitting this form to Talent on Parade, LLC. via https://talentonparade.com, is for all intents and purposes, to be considered a valid and legally binding signature.

Date *

Name of Person Submitting Form *

Shipping Address *

Apt, suite, etc.

Country