Order Forms Main Menu Custom Badge Quantity: 1-10 | 10+


1-10 BADGE ORDER FORM - Evanston Lighthouse Custom Badges (Rectangular)

Use this form for orders of up to 30 badges. To order more than 30 badges you will have to fill out the form again in its entirety. Please fill in all required fields. The fields marked with a * are required for us to properly process your order.

BILL TO
Club Name
* Name
Care of
* Address
* City
* State   * Zip Code  
* Day Phone
Fax
* Email

  SHIP TO - if different
Name
Care of
Address
City
State   Zip Code  
Day Phone
Fax
Email

  BILL TO DISTRICT..

.. OR PAY BY CREDIT CARD

VISA

MC

AMEX

DISCOVER
Credit Card
Number
Expiration
Date
Cardholder's
Name
BADGE STYLES

MEMBER
Style RCB-10
PRESIDENT
Style RCB-10

CHARTER MEMBER
Style RCB-10
CHARTER MEMEBER

PAST PRESIDENT
Style RCB-10
 

COST OF BADGES

1 or 2 @ $9.00
3 to 5 @ $8.00
6 to 24 @ $7.50
25+ @ $7.00

FASTENER TYPES

Bulldog Swivel Clip:


No extra charge
Specify A on Order Form

Clip & Pin Combo:


Add $0.75
Specify B on Order Form

Magnet Backing:


Add $1.25
Specify M on Order Form

* ROTARY CLUB NAME

BADGE INFORMATION

Please fill out complete information for each badge ordered.

* Badge Style * Fastener
type		 * Nickname or
First Name		 *Last Name * Classification
 Years

(if applicable)


Please check all spelling and fill out all fields as required, including all information regarding the product(s) you are ordering. Your order cannot be processed if requiered fields are not filled. Check this box and click the Send Email button when ready.

SPECIAL INSTRUCTIONS

All badges will be sent via first class or priority mail unless otherwise instructed. Large orders over $75.00 will ship via UPS service.

 




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