Order Forms Main Menu RT Round Badge Quantity:    1-10 |  10+  |  RO Rectangular Badge Quantity:   1-10 |  10+


1-10 BADGE ORDER FORM - RO Badges (Rectangular)

Please fill in all required fields. The fields marked with a * are required for us to properly process your order.

CLUB INFORMATION / BILL TO

* Club Name
District #
* Name
Care of
* Address
* City
* State/Province * Postal Code
* Country
* Day Phone
Fax
* Email

  SHIP TO - if different

Name
Care of
Address
City
State/Province Postal Code
Country
Day Phone
Fax
Email

  BILL TO CLUB..

.. OR PAY BY CREDIT CARD

VISA

MC

AMEX

DISCOVER

Credit Card
Number
Expiration
Date
Cardholder's
Name
BADGE STYLES

ACTIVE MEMBER
Style RO-15

CHARTER MEMBER
Style RO-58

PAST PRESIDENT
Style RO-20

HONORARY MEMBER
Style RO-68

PRESIDENT
Style RO-25
 

COST OF BADGES

1 or 2 @ $10.25
3 to 5 @ $9.65
6 to 24 @ $9.05
25+ @ $8.45

 

 

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

Full Rotary club name exactly as it should appear on your badge

BADGE INFORMATION

Please fill out complete information for each badge ordered. When selecting Style RO-20 or RO-25 please add the Term of Office in the appropriate field.

* Badge Style * Fastener
type
* Nickname or
First Name
*Last Name * Classification
22 letters max
Past
President
Term of Office

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 REQUIRED FIELDS ARE NOT FILLED. CHECK THIS BOX AND CLICK THE SEND EMAIL BUTTON WHEN READY.

Check here if you've placed a separate order today, that you would like to ship with this order.

SPECIAL INSTRUCTIONS

All badges will be sent via Priority Mail unless otherwise instructed.