Scituate High Football Plaque Order Form

Please fill out the form below to place your order. We will review the order shortly and send an invoice for $49.00 (plus the cost of shipping based on location and delivery) via PayPal. Or you can call us at 508-648-6621 to submit payment via most major credit cards.

Customer Name *

Player Name *

Enter the name of the player to be added to the plaque

Player Position and Number *

Enter the player position and the players jersey number to be added to the plaque

Customer Address (Billing) *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

When we receive your order we will send you an invoice via PayPal. Once you submit your payment we will complete your order

Shipping Same as Billing?

• Yes

Customer Address (Shipping) *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Customer Telephone Number *

Customer Email *

How did You Hear About Us? *

• Facebook
• Instagram
• Pinterest
• Email
• Google Search
• From a Friend or Colleague

Desired Delivery Date *

Typical delivery is 2 to 4 weeks. However, we are happy to work with you if you need a faster (or slower) turnaround. Just let us know.

Additional Comments or Messages *

Submit Order