Contact Tim Dove with any questions.
Email: tmdedc@gmail.com
First Name _______________________________
Last Name ________________________________________
*Pacemaker? Circle YES and attachment will be a pin and not magnet
_____1_____Badges @ $6.00 each
$6.00 sub-total
CGRS Store
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Name badge  | First Name _____________________ Last Name ______________________ *Pacemaker? Circle YES and attachment will be a pin and not magnet | Quantity: ____ x $6.00 | subtotal: $________ |
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