PUT MY MEMBER NUMBER UNDER THE CALL YES NO
(if you do not choose the member number is omitted)
Circle the one you are choosing:
White with BLACK lettering
White with RED lettering
(White with Black lettering sent if you don't choose)
Circle the one you are ordering:
BADGE WITH LOCKING SAFETY PIN BACK - $8.50
BADGE WITH PLASTIC
POCKET CLIP - - - $10.50
BADGE
WITH MAGNETIC BAR & MATCHING BAR TO GO
INSIDE SHIRT, ELIMINATES
POKING HOLE $11.00
BADGE WITH BOLO
CLIP
AND TIE - - - - $11.00
(Tie comes with BOLO CLIP order only)
TIE COLOR: BLACK
RED BLUE BROWN
(Black tie will be sent if the color not circled)
PRINT CALL LETTERS:__________________________________
PRINT HOW YOU WANT YOUR NAME TO APPEAR:
_____________________________________________________
PRINT THE BOTTOM LINE. IT CAN CONTAIN "CITY AND STATE"
OR OTHER INFO OF YOUR CHOICE.
______________________________________________________
form:badge10/19/2014