Sample Appreciation Certificate

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					                                                                                    Girl Scouts - North Carolina Coastal Pines
                                                                                        PO Box 91649, Raleigh, NC 27675-1649
                                                                                                 919-782-3021 or 800-284-4475
                                      SUPPLY REQUEST FOR RECOGNITIONS

Remit 4 weeks prior to event to :    Volunteer Services                                                                 Office Use Only
                                                                                                                          Approve by
                                     Girl Scouts - North Carolina Coastal Pines
                                     PO Box 91649, Raleigh, NC 27675-1649                                           _______________
                                                                                                                         ________
County/Area r507                                             Requested by
                                                                                   (Recognitions Coordinator)
Daytime Telephone______                                             Email

Today's Date                    Event Date                   Date for Pick-up                      at          Raleigh Service Center
                                                                                                               Fayetteville Service Center
                                                                                                   or          Goldsboro Service Center
QUANTITY                                                                                          UNIT
ORDERED                           RECOGNITION ITEM                                ITEM #          PRICE              TOTAL PRICE
               Mainstay Award (limit 1) w/certificate                              95016            18.00                                  0.00
               Outstanding Volunteer Pin w/certificate                             09943             3.50                                  0.00
               Outstanding Leader Pin w/certificate                                09944             3.50                                  0.00
               Service Unit Award                                                  95002             4.00                                  0.00
               Council Mug (12 per area)                                           70572             4.00                                  0.00
               Citizenship in Girl Scouting Award Certificate                      09997             1.00                                  0.00
               Girl Scout Volunteer Service Pin I                                  09945             8.75                                  0.00
               Girl Scout Volunteer Service Pin II                                 09946             8.75                                  0.00
               Girl Scout Volunteer Service Pin III                                09947             8.75                                  0.00
               Girl Scout Volunteer Development Award Pin                          09948             9.50                                  0.00
               Girl Scout Volunteer Award-White Key                                09890             1.25                                  0.00
               Girl Scout Volunteer Award-Black Key                                09891             1.25                                  0.00
               Valuable Volunteer Patch                                            95004             1.50                                  0.00
               Leader Achievement Award                                            95005             2.00                                  0.00
               “Daisy” Low Honor Pin                                               95006             2.00                                  0.00
               New Leader Award                                                    95007             2.00                                  0.00
               Years of Service Pin (Adult years)
                              5 year                                              09951                 4.10                               0.00
                              10 year                                             09952                 4.10                               0.00
                              15 year                                             09953                 4.10                               0.00
                              20 year+ (free of charge)                                                                                    0.00
               Numeral guards (girl + adult years)
                              5 year                                              09609               1.95                                 0.00
                              10 year                                             09610               1.95                                 0.00
                              15 year                                             09615               1.95                                 0.00
               check by # _____20 yr _____25 yr _____30 yr                                          FREE                                   0.00
               or insert #    _____35 yr _____40 yr _____other                                      FREE
               Thank You Certificate                                              95009               0.10                                 0.00
               Certificate of Appreciation                                        95010               0.10                                 0.00
               Sponsorship Certificate                                            95011               0.10                                 0.00
               Leader Appreciation Certificate                                    95012               0.10                                 0.00
               "I Took the Hand and Followed" Poem                                95013               0.10                                 0.00
               All other certificates (please attach sample)                      95014               0.10                                 0.00
                                                                                                  Subtotal                                 0.00
                                                                                        Sales Tax (6.75%)                                  0.00
                                                                                                 TOTAL                                    $0.00

Merchandise received by                                                                                 Date
                                White and Yellow copies (Council)    Pink copy (Recognitions Coordinator)
       R507/2-09

				
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Description: Sample Appreciation Certificate document sample