Volunteer/Site Recognition Order Form
Please complete all of the following section (Required):
First Name: ……     ………..Last Name:………     ……Volunteer ID: …     ……..
Address: ……     ……………City:…     ……….State:  ……Zip Code:…     ……….…
Telephone Number (including area code): …     ………………………..
Date Requested (m/d/yyyy): ……     …….. Date Needed (m/d/yyyy): ………     …………	
>>>Please allow up to 30 days for delivery<<<	
Please E-mail or Fax this form to your Volunteer Technician at the AARP Tax-Aide National Office	

***Detailed Instructions for this form are included below.***
Stock #	Volunteer Recognition Material	Qty***					
C1186	Pins – 5 Years of Service	   					
C1185	Pins – 10 Years of Service	   					
C1184	Pins – 15 Years of Service	   					
							
Stock #	Volunteer Recognition Material	Qty***		Note:  A Jan Cooper Certificate of Appreciation is included 
with these pins.  Please attach the following information for 
each pin being requested:
        Volunteer ID #, Volunteer Name*
(*to appear on the certificate)	
C1183	Pins – 20 Years of Service 	   			
C1462	Pins – 25 Years of Service 	   			
C1461	Pins – 30 Years of 	   			
C2110	Pins – 35 Years of Service 	   			
					
Stock #	Specialized Plaques	Qty***			
	Regional Coordinator Plaque	   		Note: Please attach as much detail as possible to assist the	
	Volunteer with 20+ yrs service Plaque	   		Volunteer Technicians in fulfilling these specialized plaque 	
	Retiring State Coordinator Plaque	   		requests	
					
Stock #	Site Awards	Qty***		Note:  For Site Awards, if this is the first year of the award, 	
	Margaret Drescher E-File Site Award 	   		this must be referenced.  If this is a subsequent year of the 	
	Margaret Drescher “Seals” Only	See right		award for a site, a new seal will be sent.  Please specify:	
	Alice Stephenson Quality Site Award	   		Site ID and Name:	

				New            Subsequent         	(Reference Year):      	
				For the Margaret Dresher Seals, please identify the quantities you want of the following:
    Diamond         Gold         Silver        Bronze	

AARP TAX-AIDE
Recognition Items Order Form

This form shows recognition materials that would be customized for you and are available for ordering through AARP in support of the AARP Tax-Aide program.  If the item is not listed on this form, it is either on the general order form or it is not a current AARP Tax-Aide product.

Fill out one order form per recipient address.
Provide a complete street address.  Do not use PO boxes.
Please allow 30 days for delivery of your order.
The completed form should be sent directly to the Sr. Field Support Technician assigned for your region, at:
AARP Tax-Aide Program
AARP Foundation
P.O. Box 96863
Attn:  Sr. Field Support Technicians
Washington DC 20077-7029 

You may also email the completed order form to:  TaxAide@aarp.org, or to your Sr. Field Support Technician directly; or fax the completed order form to: 202-434-6026.

Volunteer Recognition Material 
Years of Service Pins for 20+ years are accompanied by a Jan Cooper Certificate of Appreciation that is customized by the Sr. Field Support Technician.  Please provide information on each volunteer so that this certificate can be developed.

Specialized Plaques
These plaques are individually developed for the volunteers receiving them by the Sr. Field Support Technician.  Please provide information on each volunteer so that these plaques can be developed.  The specialized plaques have no stock numbers.  As a result, the stock number box has been blacked out.

Site Awards
These awards reference the site by name, and have individual medallions attached, indicating either level or year of achievement.  The Sr. Field Support Technician individual develop these awards and distribute the medallions.  Please provide information on each site so that these awards can be individually developed.  The specialized awards have no stock numbers.  As a result, the stock number box has been blacked out.