Vertex Additional Awards Request

After you fill out this order request, we will send an invoice to the email you enter below.
Please fill out 1 form for each award.
The cost of awards is $275 per gold, silver, or bronze; $300 for black awards.
Shipping will be via Fed Ex, and charges will be based on your country and the weight of the trophies.
For questions, please email at ldurham@velocityinstitute.org

Email(Required)

Award Level(Required)

Retailer of the Year

Agency of the Year

Publishers Choice

Best of Show

Gold

Silver

Bronze

Agency(Required)

Retailer(Required)

Name of Entry/Entries(Required)

Shipping Contact

First Last

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Questions and Comments

This field is for validation purposes and should be left unchanged.

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