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


1-30 BADGE ORDER FORM - RT Badges (Round)

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.

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

MEMBER BADGE
Style RT-71

HONORARY MEMBER BADGE
Style RT-68 (Blue & Gold)

CHARTER MEMBER
Style RT-59 (Blue & Silver)

PAST PRESIDENT
Style RT-35 (Blue & Gold)

PRESIDENT
Style RT-43 (Blue & Gold)
 

COST OF BADGES

1 or 2   @   9.75
3 to 5   @   $8.95
6 to 24   @   $7.95
25+   @   $7.25

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 RT-35 or RT-43 (Blue & Gold) please add the Term of Office in the appropriate field.

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

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

* Badge Style * Fastener
type
* Nickname * First &
Last Name
* Classification
35 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.