EmailMe Form - YOUR PERSONAL GEOCACHING BADGE ORDER FORM

Your name:
First Last
Your order ID:
Please insert your NE Geocaching Supplies order number here. (This enables us to match your form with your purchase)
Your payment email address:
Your Geocaching team name (account name)
This is for NEGS reference ONLY - information here will not be printed on your badge
The information you would like imprinted onto your badge. (Line 1 - upper line). Max characters inc spaces 14.
Please make sure you check this information carefully as mistakes cannot be rectified once we have imprinted your badge. Use CODE HERE or COMPLETE with Tracking code. LEAVE BLANK IF NOT REQUIRED.
The information you would like imprinted onto your badge. (2nd line - middle line). Max characters inc spaces 14.
Please make sure you check this information carefully as mistakes cannot be rectified once we have imprinted your badge. Use CODE HERE or COMPLETE with Tracking code. LEAVE BLANK IF NOT REQUIRED.
The information you would like imprinted onto your badge (3rd line - bottom line). Max characters inc spaces 14.
Please make sure you check this information carefully as mistakes cannot be rectified once we have imprinted your badge. Use CODE HERE or COMPLETE with Tracking code. LEAVE BLANK IF NOT REQUIRED.
If you have additonal information or comments please list them here: