Email: mrkenbadges@aol.com

GRANITE STATERS NAME BADGE ORDER FORM
Badges are $9.00 each and come with a pin clasp on the back A magnetic "pinless" option is an additional $2.00 Bolo tie and slide are available for an extra $2.50 NOTE: The pinless option and bolo option may both be used on the same badge FMCA F# _______________________ Phone _________________ Email_________________________ NAME _________________________________________________ ADDRESS _____________________________________________
PLEASE PRINT CLEARLY
1stBadge     2ndBadge ___________________________ Name as you want it engraved ___________________________ Name as you want it engraved ________ Name badges @ $8.75 $_____.___ ________ Gray Bolo ties @ $2.00 $_____.___ ________ Magnetic "pinless" option @ $2.00 $_____.___ Shipping & Handling $1.25 per badge      $_____.___ TOTAL $_____.___

Print this page, enclose Check or Money Order payable to "Mr Ken" and mail it to the above address.
You should receive your order within 3 weeks.
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