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


1-10 BADGE ORDER FORM - RG-RF-10 Badges (Standard RI Badge)

Please fill in all required fields. The fields marked with an * 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  
Day Phone
Country
Fax
Email

  BILL TO CLUB..

.. OR PAY BY CREDIT CARD

VISA

MC

AMEX

DISCOVER

Credit Card
Number
Expiration
Date
Cardholder's
Name
BADGE STYLES


STANDARD TRF BADGE
Style RG-RF-10

STANDARD RI BADGE
Style RG-RF-10

   
 
 

COST OF BADGES

1 or 2 @ $11.95
3 to 5 @ $10.95
6 to 24 @ $9.95
25+ @ $9.25
 

FASTENER TYPES

Bulldog Swivel Clip:


No extra charge
Specify A on Order Form

Magnet Backing:


No extra charge
Specify M on Order Form

* ROTARY CLUB NAME

Full Rotary club name exactly as it should appear on your badge. If this is not for a Rotary Club, type "Not Applicable" for the club name.

BADGE INFORMATION

Please fill out complete information for each badge ordered. Choose between the Masterbrand (MB) and The Rotary Foundation (TRF) logo.

* LOGO:
MB or RF
*Fastener
Type
* Nickname (Line 1)
*Full Name (Line 2) * Title 1 (Line 3) * Title 2 (Line 4) * Title 3 (Line 5)

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.