Name Tag Order Form

NEW NAME TAGS ($5.50)

海角社区 name tags are available for all employees. Orders will be charged to the account number provided below. The cost is $5.50 per name tag when ordering 10 or more. To maintain this price, orders will be placed in groups of 10 whenever possible. Please be sure to include the account number and appropriate signature with your request.

Note: Vendor pricing is subject to change without notice

Billing Information

CONTACT INFORMATION

*Full Name:

*Email:

*Phone Number:

*Department:

*Unit Number

*Supervisor Name:

*Fund Code/Org Code/Expense Acct:
- -

NAMETAGS INFORMATION

Employee Name	Department Name	Quantity
1,		x $5.50
2,		x $5.50
3,		x $5.50
4,		x $5.50
5,		x $5.50
6,		x $5.50
7,		x $5.50
8,		x $5.50
9,		x $5.50
10,		x $5.50

Security Password (Please type the word Lewis Password