1. BROADWAY-FLUSHING HOMEOWNERS’ ASSOCIATION, INC.
SERVING THE COMMUNITY SINCE 1964
Yes, I am interested in ordering a bronze plaque as described on this form. I understand the price
will be determined by the number of orders, and I will be contacted to confirm my order and
final pricing prior to placing my order.
I understand this information is being provided to me as a COURTESY to assist with the
ordering of a plaque, and is NOT a vehicle for fund raising by Broadway-Flushing Homeowners’
Association, Inc.
I understand the plaque is in recognition of the National and New York State Register of Historic
Places ONLY.
I understand I am ordering the following: 10” x 7” Custom Plaque, Times New Roman Font,
Double Border, BRONZE.
I understand that INSTALLATION OF THE PLAQUE IS THE RESPONSIBILITY OF THE
HOMEOWNER.
Please mail your order form to: Broadway-Flushing Homeowners’ Association, Inc.,
P.O. Box 580031, Flushing, NY 11358 – Attention: Historic Plaque; OR
scan the order form to: president@bfhassoc.org
Questions or Concerns: Maria Becce, 718-762-1386 or mbecce@mbstubbs.com
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ORDER FORM
Name:_____________________________________________________________________
Address:____________________________________________________________________
_____________________________________________________________________
____ FrontMount Plaque (recommendedforinstallationonwood)
____ RearMount Plaque (recommendedforinstallationonmasonry)
Phone Number: __________________________________
E-mail address: _____________________________________________