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Name of your Club / Organization:

Event Name (if any):

Event Date:

Website:

Number of People Attending:

Type of Event
Annual
Bi-Annual
Monthly
Other


Would you be interested in custom products for your event?*
(custom products require 4-weeks lead-time before the event)
Custom Dome Badges
Custom Door Lights
Custom Decals

How did you hear about us?

Event Details:

Shipping Address:

Contact Information (name, email, phone):


Event Freebies

GoBadges Decals (picked randomly)
Quantity
GoBadges Discount Cards
Quantity

Event Door Prizes/Raffle Items (max.2qty)
MS001-Magnetic Black Grill Badge Holder with a badge
Quantity
MS002-Magnetic Chrome Grill Badge Holder with a badge
Quantity
MS007-Magnetic License Frame Badge Holder with two badges
Quantity
GP001-GoPro Car Mounting Kit
Quantity
$10 GoBadges Gift Certificate
Quantity




Please enter the following code into the box provided: