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 /
SHIP TO - if
BILL TO CLUB..
.. OR PAY BY
No extra charge Specify A on
Clip & Pin
Add $0.75 Specify B on Order
Add $1.25 Specify M on Order
* ROTARY CLUB NAME
Full Rotary club name exactly as it should
appear on your badge
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.
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.
All badges will be sent via Priority Mail
unless otherwise instructed.