Century Club

The Century Club program is available to IHCA members. Through the program, IHCA members can order plaques using the form below to recognize residents who have reached 100 years of age.

Century Club Plaque Order Form

Please fill out the following information to order your personalized Century Club plaque today. The Century Club plaque is 6" by 8 and 3/4" walnut finish Iowa plaque with an engraved black aluminum plate.

Personalized Order Form Confirmation
Price for Century Plaque is $75
Current Year * Required
Facility Name * Required
Name of Resident * Required
Date of Birth * Required
Billing Information
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone * Required
Contact Person Name * Required
First Last

The Century Club Plaque will display the following information:

Century Club

Century Club Plaque Order Form

Personalized Order Form Confirmation

Billing Information