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  • Hatchboard Plaque Request Form
    Please complete the following information to place an order for a memorial plaque.
    Member's First name:
    Member's Last Name:
    Member's Registration #:
    Year of Birth:
    Year of Death:
    Year Registered:
    Year Retired:
    Requested by Name:
    Requested by Phone #:
    Requested by Email:

  • Bay Area Longshoremen's Memorial Association

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