Baseball/Football Locker Room Name Plate Form

Email Secondary Email

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Email address *

First name *

Last name *

Graduation Year *

Sport Played at Moravian *

Check all that apply

Baseball Football Other None

If you marked other to the previous question, please list sport(s) played at Moravian.

Uniform Number *

If you played both sports, please list both numbers and designate which number for each sport. If you did not play either sport at Moravian, please list 0.

If the name plate is recognizing a current student or honoring your classmates or loved one - List name, class year and sport of the person that should be listed on the name plate.

Please include uniform number if known

* required field

Moravian University

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Baseball/Football Locker Room Name Plate Form