BYC NAME BADGE ORDER FORM

By completing this form you can order directly from the manufacturer here in Bellingham

This form can either be completed and sent electronically by hitting the "Submit" button, or it can be printed and submitted by mail (with check) to:

Bay Trophies and Engraving
1833 Humbolt St.
Bellingham, WA 98225

NOTE: BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PRINT A COPY FOR YOUR RECORDS.
All items marked with a * must be completed as well as credit card information, if used as payment.

(alternative badge: Blue letters on white background)
Customer's First Name*
Customer's Last Name*
Street Address* City* State* Zip*
Email address*
Day phone* Evening phone* Cell phone

Details of Order

Orders can be mailed direct to customer, or picked up by BYC to be available in Club Lounge. All taxes are included. Please check below:

Badge design options. Check type and enter number and cost manually*

Design
Number
Cost $
Pin back, Gold background, Black letters - each $4.75
Pin back, White background, Blue letters - each $4.75
Magnetic Bar, Gold background, Black letters - each $6.30
Magnetic Bar, White background, Blue letters - each $6.30
Send order by mail - per order $1.50
BYC order pickup - Free
Total

Badge detail*:
Names on badge: First badge:
Second badge:
Boat name (optional):

Method of Payment*: Credit card or check

Payment by credit card - all of the following must be completed
Credit card payment*: Visa Master Card
Card number (four numerals per box please)*:
Expiration date*: Month Year
Card holder's name as it appears on card*:
Comments (if any)
Send mail to BYC webmaster with questions or comments about this web site. Internet services provided by CSS Communications.
Last modified : Wednesday, April 27, 2005
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