| Please
print this form, fill it out, and send or fax it to: Marketing
Communications Department- Attn: Zara Osterman, 303 Haggar
College Center- Telephone 574-284-4595, Facsimile 574-284-4848.
Thank you!
IMPRINT
INFORMATION (please print)
Main name
line: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __
Title line
#1: http://www.saintmarys.edu/campusmap805.html
__ __ __ __ __ __ __ __
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Title line
#2: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
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ATTACHMENT
METHOD (choose one)
[___] Pin
Back
[___] Magnetic
Bar Back
PRICE
INFORMATION
Badges
are $7.50 each.
____# of
EXTRA
magnet keeper bars additional $1.75
each.
ORDER
DETAILS
Ordered
by (NAME): ________________________________________________________
Telephone:
______________ Bill
to account number: ____________
Deliver
to (NAME, DEPT. & LOCATION): _____________________________________________________
_____________________________________________________
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