EARS Badge Request Form:

Fields marked (*) are required.

 

Contact information:

First Name *
Middle Initial
Last Name *
Street *
Appt #
City *
State *
Zip *
Phone *
Email

 

Badge information:

Call Sign *
Name on Badge*
City*
State*

Note that the name on the badge can be your nick-name, your first name, or your first and last names.

 

Attachment Method:

Aligator Clip - $9.00
Safety Pin - $9.00
Military Post - $9.00
Magnetic - $10.50

 

Other comments:

 

You can collect the badge at:

Glaser Bailey Awards:
2015 South Escondido Blvd,
Escondido.
CA 92025

For an extra $6.00 they will mail your finished badge to you.

Once the badge has been ordered, Glaser Bailey will contact you for payment information, and to find out whether you want it mailed or not.