Elizabeth City Trophy
501 E. Elizabeth Street
Elizabeth CityNC27909   USA
Tel: 252*338*6920

Plaque Order Photos

Payor Name: *
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We will be happy to calculate your order with shipping after you submit this form.  We will call you on the phone number you provided.  Payment may be made over the phone or by check.

Enter EXACTLY what you want engraved below.  We ONLY engrave what is entered.

Name of Meet Director: *
Name to write on plaque: *
Amount of weight lifted: *
Select type of lift: *
Select type of record: *
Date of Competition: *
Division: *
Weight Class: *
Name of Competiton: *
Locaton of Competition: