Plaque/Plate Replacement Form

Production Award Plaque and/or Plate Replacement Form
PLEASE NOTE: We limit plate/plaque reorders to one previous cycle (for example, if we’re in the 2023 Production Awards cycle, we can reorder your materials from 2022’s Production Awards). Please note: this is limited to individuals who applied, paid the application fee, and qualified during our original application cycle.

Plates/plaques from further than one cycle in the past will not be replaced. To request a plate/plaque replacement, please submit this form by September 31. Replacement orders will be made in October of each year.
I understand the terms above and and that BRR will need to verify any information presented within this application.*

Yes
Name*

First NameLast Name
NRDS ID (REALTOR® Membership Number)*
Don't know your NRDS ID number? Look it up here!
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Brokerage*
I have double-checked the spelling of my name and brokerage and confirm that they are correct, as this is EXACTLY how they will appear on the plaque and/or plate.*

Yes, my name and brokerage are correct.
Today's Date

MonthDayYear
Date
Replacement YEAR
What would you like replaced?*

Plaque and PlatePlate Only
Confirm your plate inscription. Lifetime and/or Honor Society distinctions will be included if applicable.*

YEAR and volume, and distinctionsYEAR only

My Products*

Replacement Plate - Lost/Misplaced

$20.00 Quantity

Replacement Plate - Never Received

$ Free Quantity

Replacement Plaque and Plate - Lost/Misplaced

$50.00 Quantity

Replacement Plaque and Plate - Never Received

$ Free Quantity

Total

$0.00

Credit Card

Apple Pay

Google Pay

Production Award Plaque and/or Plate Replacement Form