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Registry Certificate and Window Placard

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Product ID:ABREG

Home Information (All Fields Optional)

Registered Owner:

Address:

City:

State:

Zip Code:

Map Book No. (If known):

Architectural Style:

Year Built (Or Approx):

Name of Builder or Architect:

Number of Stories:

Number of Baths:

Square Footage:

Additional Info

Describe Home Features (additions, window style, etc):

Describe Home History or Other Facts:

Publication Permission

Yes, I'm interested in seeing my home in a future issue of the magazine.

Upload Image

Upload An Image:

Quantity

Description
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Registered homeowners only.

Enter the name and address information of the registered home as it will appear in the certificate. You will be assigned a registry number at time of processing.

You may also print out the form and mail in the application, along with any additional photos or information. The offline application can be found here.

Registry Certificate and Window Placard

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