Fleetwood MotorHome Association Name Badge Order Form

 

Please clearly print the words as they are to appear on the badge.

 

 

First Name: _____________________          Last Name: ______________________

 

Spouse or Partner Name: _______________________________________________

 

City, State of Residence: __________________________________

 

FMA #: ___________________                      

 

 

Name Badge is White Background with FMA Color Logo and Black Lettering

 

______ Badges with Magnet Backing @ $11.00 each:                     $____________

             (Do Not Use With Pacemakers)

 

______ Badges with Optional Pin Backing @ $8.00                         $____________

 

Shipping @ $1.00 per badge ($5.00 maximum):                                $____________

 

            Total Enclosed:                                                                       $____________

 

 

Ship to:            Name: ___________________________________________________

 

                        Address: _________________________________________________

 

                        City: _________________________ State: _______ Zip: ___________

 

                        Phone#: __________________________________________________

 

 

Please enclose check or money order payable to:  Badges “R” Us

 

Mail to:            Badges “R” Us

                        411 N. 6th St. #2444

                        Emery, SD 57332

 

 

We accept Credit Cards.

 

Questions:  Call (760) 212-0682 or email badgesrus@aol.com