MR. KEN BADGES ‘N SIGNS

2505 Clintonville Road – Harrisville, PA  16038

(800) 398-8307 -- Email:  mrkenbadges@aol.com

 

 

 

FMCA DISASTER RESPONSE TEAM NAME BADGE ORDER FORM

 

 

Badges are $7.00 each and come with a pin clasp on the back.

A magnetic “pinless” option is an additional $2.

Bolo tie and slide are available for an extra $2.

NOTE:  The pinless and bolo option may both be used on the same badge

 

Phone ______________ Email________________

 

Name____________________________________

 

Address__________________________________

 

_________________________________________

 

PLEASE PRINT CLEARLY

 

FMCA# ____________________                                                                  

 

 

            1ST Badge                                                                   2nd Badge

 

________________________________                    ____________________________

Name as you want it engraved                                   Name as you want it engraved

 

______            Name Badges @$7.00                                               $___________

 

______            Black Bolo Ties @ $2.00 (HIS) (HERS)                     $___________

 

______            Magnetic Pinless Option @ $2.00 (HIS) (HERS)       $___________

 

                        Shipping & Handling $1.00 per badge                        $___________

                       

                        Sales Tax 6% to PENNSYLVANIA addresses            $___________

 

                                                            TOTAL                                                $___________

 

Make check payable to “Mr Ken” and mail to above address.

You should receive your order within 3 weeks.

(4/07)