National Junior Classical League

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Miami University
Oxford, OH 45056-1694
(513) 529-7741
Fax (513) 529-7742

*for Honor Society Members only

Name _____________________________________

Address _____________________________________

_____________________________________

City _______________________________________ State ______ Zip__________

*Orders are shipped via UPS. Please give street name and number, not P.O. Box or Rural Route number.

Acccessories*

*in the shape of the Honor Society Scroll

Quantity	Description	Price	Amt. Due
_________	Diploma Seal $0.25 each		$ _________
_________	Honor Society patch* $1.10 each		$ _________
_________	Traditional-clasp pin* $2.15 each		$ _________
_________	Lapel pin* $2.15 each		$ _________
		Total Amount Due	$ _________

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