WCMC Nametag Order Form

Name Badge Order Form

Name badges are $12 each and come with a magnetic fastener.  (Note: Magnetic fasteners should not be used by those with pacemakers. Instead, a pin fastener and clip adapter will be provided.  Please circle below which name badge(s) require a pin fastener & adapter.)

Please Print EXACTLY what you want to appear on the badge.

Name Badge 1
Line 1  
Line 2  
 
Name Badge 2
Line 1  
Line 2  
   
Please order _____ name tag(s) @ $12 each. Shipping included.
A total of $ ______________ is enclosed for name badges.

 

Please make check payable to Windy City Miata Club
Mail completed application and check to:

WCMC

P.O. Box 508
Lisle, IL 60532

Text Box: Date Rcvd ____________ Check # _______________ Amount $ ___________

For Club Use Only: