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Radio Club Of Tacoma - Club Badge Order Form

Full Name *

Address *

City *

State *

Zip Code *

Email address *

RCT # if Known

Your badge will be mailed when completed.

Please note that badges use uppercase lettering for both name and call sign.

The cost of the badge is $15.00.

A square badge

A rectangle badge

Badge name *

Badge call sign *

** Electronic Payment Fee $2.00

Total badge fee *

When you submit this form you will be redirected to Paypal for an online payment.

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