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Get ADDY Award Duplicate Trophies & Certificates
for Your Creative Team and Your Clients!

 

 

 

ADDY Award Duplicate Request Form
Please Read the instructions below thoroughly before submitting your duplicate request form.
Division Winner
Trophies:
••••••••••••••••• Members •••••••• $ 95. (Must be exact duplicate of Division Winner Trophy presented)
••••••••••••••••• Non-members ••• $140. (Same as above)
Trophies:
••••••••••••••••• Members •••••••• $ 85. (Trophies may be for Gold or Silver ADDY Awards)
••••••••••••••••• Non-members ••• $125. (Same as above)
Certificates:
••••••••••••••••• Members •••••••• $ 30. (Certificates may be for Gold or Silver ADDY Awards)
••••••••••••••••• Non-members ••• $ 50. (Same as above)

Fill in the request form below, once for EACH specific duplicate requested
If you are requesting more than one of the EXACT same thing, you only need to fill out one request
Any change of information, such as an individuals name credit, will require a new form
If you anticipate requesting more than one award duplicate, please note this in the appropriate field
Once you have entered a request you will be directed to a confirmation of submission page; please print this
page for your records. When we have received your request(s), you will be emailed an invoice with a total
amount and a confirmation of all award duplicates requested. This email will include an invoice number and
payment instructions.

Please be sure to proof read your entries before submitting. If there are differences between our records and
the duplicate request form we will assume that the request form includes a correction. We are not responsible for typographical errors in data entry. The confirmation page is your final proof copy. If you find a data entry error,
email us with the correct information immediately.

If you have any questions please email: office@gsfadclub.org
or call: 510-658-4883.

Contact Information

Items with an * are required fields

Name *

Company *

E-Mail Address *

Phone Number *

Will you be submiting more than one duplicate request? *
(This lets us know there will be multiple items)

Additional Contact Information: (optional)

Award Information

DIVISION *

Trophy *
(Indicate plexiglas Trophy/paper Certificate)

Award (Division/Gold/Silver)*

Category *

Agency Name *

Credited Individual / Contractor - Title (optional) (Maximum 4 lines)

Client Name (optional)

Entry Name *

How many EXACT copies do you want (Trophies/Certificates)*

Payment for ADDY Award duplicates