• JROTC/ROTC Program
    Recognition Order Form

  • ***

    This ordering form is for Scottish Rite Valleys in the Southern Jurisdiction. If you are from the Northern Jurisdiction, please visit:

    https://scottishritenmj.org/resources/forms/americanism-rotc-award

    ***

    • Ordering 

    • ** PLEASE NOTE: If the ceremony date is less than three weeks away, you may be charged an additional fee for rush shipping. **

    •  - -Pick a Date

  • Contact Information


  •
    • Standard US Address 
    • APO/FPO or Other Address 
    • Review 

    • Review Your Information

      Please review the information below carefully prior to hitting "Submit."

      Please use the BACK button to correct any errors.

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    • School Review 
    • School: {nameOf}
      Contact Name: {contactName}
      Email: {email}
      Phone Number: {phoneNumber}
      Shipping Address:

      {shippingAddress}
      {shippingAddress319}
      {city}, {state}  {5digitZip}

      {shippingAddress311}
      {addressLine312}
      {addressLine314}
      {addressLine315}
       Program Type:  {programType}
       Materials Requested:  {whichMaterials}
       Certificate Quantity:  {howMany348}
       Presentation Folders?  {doYou}
       Folder Quantity:  {howMany349}
       Medal Quantity:  {typeA}{howMany}
       Certificates Requested?  {wouldYou}
       For Specific Event?
      		  {areYou337}
       Time Sensitive?  {isThe}
       Need by:  {needBy}

       

    • Scottish Rite Review 
    • Scottish Rite Valley
      		 {valleyName}, {orientsj}
      Contact Name: {contactName}
      Email: {email}
      Phone Number: {phoneNumber}
      Shipping Address:

      {shippingAddress}
      {shippingAddress319}
      {city}, {state}  {5digitZip}

      {shippingAddress311}
      {addressLine312}
      {addressLine314}
      {addressLine315}
       Program Type:  {programType}
       Materials Requested:  {whichMaterials}
       Certificate Quantity:  {howMany348}
       Presentation Folders?  {doYou}
       Folder Quantity:  {howMany349}
       Medal Quantity:
      		  {typeA}{howMany}
       For Specific Event?  {areYou337}
       Time Sensitive?  {isThe}
       Need by:  {needBy}

       

    • ATTENTION, SCOTTISH RITE VALLEYS:

      JROTC and ROTC Kits are $6.00 each, plus shipping. A Supreme Council staff member will contact you regarding payment within three business days (Monday–Thursday, 7 am to 5 pm ET).

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